Winter, Jeffrey Daniel

Winter, Jeffrey Daniel is an individual health care provider with primary practice located at 11855 Ulysses St Ne Suite 20, Blaine MN 55434-3947. 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. Winter, Jeffrey Daniel can be contacted via phone (763) 767-3140.

Contact Information

Primary practice address
11855 Ulysses St Ne Suite 20 Blaine MN 55434-3947
Phone: (763) 767-3140
Fax: (763) 767-3146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7253 Minnesota

Profile Details

NPI number 1992898902
LBN Legal business name Winter, Jeffrey Daniel
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Oct 21st, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992898902 NPPES
Minnesota MEDICAID 891408700

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