Madsen, Dalton J

Madsen, Dalton J is an individual health care provider with primary practice located at 201 N Broad St , Mankato MN 56001-3585. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Madsen, Dalton J can be contacted via phone (507) 200-2624.

Contact Information

Primary practice address
201 N Broad St Mankato MN 56001-3585
Phone: (507) 200-2624
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 306101 Minnesota

Profile Details

NPI number 1700533924
LBN Legal business name Madsen, Dalton J
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2022
Last updated Mar 8th, 2022 - about 3 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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