Dahl, Benjamin Lane

Dahl, Benjamin Lane is an individual health care provider with primary practice located at 801 Broadway N , Fargo ND 58102-3641. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Dahl, Benjamin Lane can be contacted via phone (701) 234-5015.

Contact Information

Primary practice address
801 Broadway N Fargo ND 58102-3641
Phone: (701) 234-5015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 11490 North Dakota
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 2004015303 Missouri
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 11490 North Dakota

Profile Details

NPI number 1558565762
LBN Legal business name Dahl, Benjamin Lane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Nov 23rd, 2020 - 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 1558565762 NPPES
North Dakota MEDICAID 15406

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