Dahl, Bruce L

Dahl, Bruce L is an individual health care provider with primary practice located at 1220 Sheyenne St , West Fargo ND 58078-2637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dahl, Bruce L can be contacted via phone (701) 234-4446.

Contact Information

Primary practice address
1220 Sheyenne St West Fargo ND 58078-2637
Phone: (701) 234-4446
Fax: (701) 234-4455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3903 North Dakota

Profile Details

NPI number 1801814546
LBN Legal business name Dahl, Bruce L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jan 18th, 2012 - about 14 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 1801814546 NPPES
North Dakota MEDICAID 13239

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