Dettmer, Alan Jay

Dettmer, Alan Jay is an sole proprietor health care provider with primary practice located at 102 Donovan Dr , Grand Rapids MN 55744. 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. Dettmer, Alan Jay can be contacted via phone (218) 259-2143.

Contact Information

Primary practice address
102 Donovan Dr Grand Rapids MN 55744
Phone: (218) 259-2143
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7152 Minnesota

Profile Details

NPI number 1962479436
LBN Legal business name Dettmer, Alan Jay
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2006
Last updated Feb 14th, 2014 - 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.

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