Gage, Daniel James
Gage, Daniel James is an individual health care provider with primary practice located at 1300 S Green Bay Rd Ste 205 , Mount Pleasant WI 53406-4469. 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 / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Gage, Daniel James can be contacted via phone (262) 898-3930.Contact Information
Primary practice address
1300 S Green Bay Rd Ste 205
Mount Pleasant WI 53406-4469
Phone: (262) 898-3930
Fax: (262) 898-3933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 11425-24 | Wisconsin |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT00005165 | Washington |
Profile Details
| NPI number | 1639176431 |
|---|---|
| LBN Legal business name | Gage, Daniel James |
| Credentials | PHYSICAL THERAPIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jul 9th, 2021 - about 5 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 | 1639176431 | NPPES |
| Wisconsin | MEDICAID | 100027520 |
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