Halverson, Dirk Saul

Halverson, Dirk Saul is an individual health care provider with primary practice located at 7801 E Bush Lake Rd Ste 400 , Minneapolis MN 55439-3113. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Halverson, Dirk Saul can be contacted via phone (952) 479-4261.

Contact Information

Primary practice address
7801 E Bush Lake Rd Ste 400 Minneapolis MN 55439-3113
Phone: (952) 479-4261
Fax: (866) 991-7241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 877-025 Wisconsin
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 877-025 Wisconsin
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 584 Minnesota

Profile Details

NPI number 1518958925
LBN Legal business name Halverson, Dirk Saul
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Feb 22nd, 2022 - about 4 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 1518958925 NPPES
Minnesota MEDICAID 1518958925
Minnesota MEDICAID 43239800

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