Charles K. Dahlgren, M.D., Corp

LBN: Charles K. Dahlgren, M.D., Corp
Charles K. Dahlgren, M.D., Corp is an health care organization with primary practice located at 1995 Errecart Blvd Ste 109 , Elko NV 89801-8336. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngic Allergy, which is considered as the primary health care specialty. Charles K. Dahlgren, M.D., Corp can be contacted via phone (775) 738-2555, or through Dahlgren, Charles Kenneth via phone (775) 738-2555.

Contact Information

Primary practice address
1995 Errecart Blvd Ste 109 Elko NV 89801-8336
Phone: (775) 738-2555
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dahlgren, Charles Kenneth Doctor of Medicine (MD)
Phone: (775) 738-2555

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X

Profile Details

NPI number 1053581470
LBN Legal business name Charles K. Dahlgren, M.D., Corp
DBA Doing business as
Authorized official Dahlgren, Charles Kenneth Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2008
Last updated Nov 5th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053581470 NPPES
California Other A20663 CALIFORNIA STATE LICENSE
California Other A22258 CALIFORNIA STATE LICENSE
California Other P00273393 CALIFORNIA STATE LICENSE
California Other 101836 CALIFORNIA STATE LICENSE
California MEDICAID 100507648 CALIFORNIA STATE LICENSE
California Other 11563 CALIFORNIA STATE LICENSE

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