Dahlke, Joshua J

Dahlke, Joshua J is an individual health care provider with primary practice located at 2323 N Casaloma Dr , Appleton WI 54913-8284. 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. Dahlke, Joshua J can be contacted via phone (920) 730-8833.

Contact Information

Primary practice address
2323 N Casaloma Dr Appleton WI 54913-8284
Phone: (920) 730-8833
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10880-024 Wisconsin

Profile Details

NPI number 1477747020
LBN Legal business name Dahlke, Joshua J
Credentials P.T., DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2007
Last updated Jan 28th, 2014 - about 11 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 1477747020 NPPES
Wisconsin MEDICAID 36141600

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