Kuntzelman, Richard Dale

Kuntzelman, Richard Dale is an sole proprietor health care provider with primary practice located at 205 Haggerty Ln Suite 100, Bozeman MT 59715-8800. 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. Kuntzelman, Richard Dale can be contacted via phone (406) 585-7399.

Contact Information

Primary practice address
205 Haggerty Ln Suite 100 Bozeman MT 59715-8800
Phone: (406) 585-7399
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 566 Montana

Profile Details

NPI number 1639232754
LBN Legal business name Kuntzelman, Richard Dale
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Jul 8th, 2007 - about 19 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 1639232754 NPPES
Montana Other 60605 BLUE CROSS BLUE SHIELD

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