Dahl, Harrison
Dahl, Harrison is an sole proprietor health care provider with primary practice located at 499 Evernia St Apt 620 , West Palm Beach FL 33401-5467. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Dahl, Harrison can be contacted via phone (646) 831-8415.Contact Information
Primary practice address
499 Evernia St Apt 620
West Palm Beach FL 33401-5467
Phone: (646) 831-8415
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 11010831 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 11010831 | Florida |
Profile Details
NPI number | 1578150173 |
---|---|
LBN Legal business name | Dahl, Harrison |
Credentials | APRN, AGACNP-BC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 29th, 2020 |
Last updated | Apr 20th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578150173 | NPPES |
Florida | Other | 11010831 | STATE BOARD OF NURSING |
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