Pauls, Bruce Dale
Pauls, Bruce Dale is an sole proprietor health care provider with primary practice located at 616 W Platt St , Maquoketa IA 52060-2118. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Pauls, Bruce Dale can be contacted via phone (563) 652-4364.Contact Information
Primary practice address
616 W Platt St
Maquoketa IA 52060-2118
Phone: (563) 652-4364
Fax: (563) 652-6818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 0769 | Iowa |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 00082 | Iowa |
Profile Details
| NPI number | 1922003359 |
|---|---|
| LBN Legal business name | Pauls, Bruce Dale |
| Credentials | PT,MS,ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Oct 11th, 2007 - about 17 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 | 1922003359 | NPPES |
| Iowa | MEDICAID | 0199000 |
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