Bellanger-Dahl, Judy A

Bellanger-Dahl, Judy A is an individual health care provider with primary practice located at 1000 Coney St W , Perham MN 56573-2102. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bellanger-Dahl, Judy A can be contacted via phone (218) 347-1200.

Contact Information

Primary practice address
1000 Coney St W Perham MN 56573-2102
Phone: (218) 347-1200
Fax: (218) 347-4043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9616 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0325 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1265470447
LBN Legal business name Bellanger-Dahl, Judy A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Aug 4th, 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 1265470447 NPPES
Other 318G9BE MNBCBS
Other 23099 MNBCBS
MEDICAID 924632100 MNBCBS

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