Degallier, Peter Roland
Degallier, Peter Roland is an sole proprietor health care provider with primary practice located at 720 E Highway 61 , Winona MN 55987-5300. He recently has only one registered license in Dental Providers / Dental Therapist, which is considered as his primary health care specialty. Degallier, Peter Roland can be contacted via phone (507) 452-9453.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Therapist | 125J00000X | DT117 | Minnesota |
Profile Details
| NPI number | 1124663109 |
|---|---|
| LBN Legal business name | Degallier, Peter Roland |
| Credentials | DENTAL THERAPIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2019 |
| Last updated | Nov 13th, 2019 - about 7 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 | 1124663109 | NPPES |
| Minnesota | Other | 1497784342 | NPI |
| Minnesota | Other | 1992930556 | NPI |
| Minnesota | Other | 1801957758 | NPI |
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