Dahl, Christian William

Dahl, Christian William is an individual health care provider with primary practice located at 1009 College St. , Lacey WA 98503-5310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dahl, Christian William can be contacted via phone (360) 407-1508.

Contact Information

Primary practice address
1009 College St. Lacey WA 98503-5310
Fax: (360) 407-0955
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00023715 Washington

Profile Details

NPI number 1205951076
LBN Legal business name Dahl, Christian William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jul 21st, 2022 - about 2 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 1205951076 NPPES
Washington MEDICAID 8103384

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