Dahl-Grove, Deanna L

Dahl-Grove, Deanna L is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Dahl-Grove, Deanna L can be contacted via phone (216) 844-7700.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Phone: (216) 844-7700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 35-064443 Ohio

Profile Details

NPI number 1538186622
LBN Legal business name Dahl-Grove, Deanna L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Oct 26th, 2010 - about 14 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 1538186622 NPPES
Ohio Other 5193157 AETNA
Ohio Other 363458 AETNA
Ohio MEDICAID 0968136 AETNA
Ohio Other 000000206853 AETNA
Ohio Other 0968136 AETNA
Ohio Other 000000221358 AETNA
Ohio Other 000000525920 AETNA
Ohio MEDICAID 0019426400001 AETNA
Ohio Other 733266 AETNA

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