Dahlgren, Andrew Basler

Dahlgren, Andrew Basler is an individual health care provider with primary practice located at 8200 Meadowbridge Rd Suite 200, Mechanicsville VA 23116-2331. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Dahlgren, Andrew Basler can be contacted via phone (804) 730-2121.

Contact Information

Primary practice address
8200 Meadowbridge Rd Suite 200 Mechanicsville VA 23116-2331
Phone: (804) 730-2121
Fax: (804) 730-0563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 4301074317 Michigan
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 0101057080 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101057080 Virginia

Profile Details

NPI number 1740235266
LBN Legal business name Dahlgren, Andrew Basler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Feb 19th, 2015 - about 11 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 1740235266 NPPES
Michigan MEDICAID 104800110
Michigan Other P00761603

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