Dahl, Peggy Sue

Dahl, Peggy Sue is an individual health care provider with primary practice located at 151 S 4Th St Suite 401, Grand Forks ND 58201-4715. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Dahl, Peggy Sue can be contacted via phone (701) 795-3084.

Contact Information

Primary practice address
151 S 4Th St Suite 401 Grand Forks ND 58201-4715
Fax: (701) 795-3050
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1831223940
LBN Legal business name Dahl, Peggy Sue
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 9th, 2007 - about 17 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 1831223940 NPPES
North Dakota MEDICAID 054519

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