Andersen, Dallin Joseph

Andersen, Dallin Joseph is an individual health care provider with primary practice located at 427 S Bernard St , Spokane WA 99204-2509. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Andersen, Dallin Joseph can be contacted via phone (509) 456-0107.

Contact Information

Primary practice address
427 S Bernard St Spokane WA 99204-2509
Phone: (509) 456-0107
Fax: (509) 747-2635
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 61244190 Washington
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 61244190 Washington

Profile Details

NPI number 1225492333
LBN Legal business name Andersen, Dallin Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2016
Last updated Mar 1st, 2023 - about 2 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 1225492333 NPPES
Washington MEDICAID 2203889

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