Dahl, Douglas Middleton
Dahl, Douglas Middleton is an individual health care provider with primary practice located at 55 Fruit St Grb 1102, Boston MA 02114-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Dahl, Douglas Middleton can be contacted via phone (617) 726-0875.Contact Information
Primary practice address
55 Fruit St Grb 1102
Boston MA 02114-2621
Phone: (617) 726-0875
Fax: (617) 726-6131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 78119 | Massachusetts |
Profile Details
| NPI number | 1639160807 |
|---|---|
| LBN Legal business name | Dahl, Douglas Middleton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Jan 31st, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639160807 | NPPES |
| Massachusetts | Other | J31467 | BCBS MA |
| Massachusetts | MEDICAID | 3141063 | BCBS MA |
| Massachusetts | Other | 779428 | BCBS MA |
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