Mcentaffer, Dennis J
Mcentaffer, Dennis J is an individual health care provider with primary practice located at 1512 Service Dr , Winona MN 55987-3803. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mcentaffer, Dennis J can be contacted via phone (507) 474-6900.Contact Information
Primary practice address
1512 Service Dr
Winona MN 55987-3803
Phone: (507) 474-6900
Fax: (507) 474-0502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5704 | Minnesota |
Profile Details
| NPI number | 1750352902 |
|---|---|
| LBN Legal business name | Mcentaffer, Dennis J |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Jan 20th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750352902 | NPPES |
| Minnesota | MEDICAID | 839662100 |
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