Halvorsen, Wade Daniel

Halvorsen, Wade Daniel is an individual health care provider with primary practice located at 923 Hale Lake Pointe , Grand Rapids MN 55744-9615. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Halvorsen, Wade Daniel can be contacted via phone (218) 326-0543.

Contact Information

Primary practice address
923 Hale Lake Pointe Grand Rapids MN 55744-9615
Phone: (218) 326-0543
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X A2707 Minnesota

Profile Details

NPI number 1952077901
LBN Legal business name Halvorsen, Wade Daniel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2021
Last updated Aug 19th, 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.

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