Dahl, Shelley
Dahl, Shelley is an sole proprietor health care provider with primary practice located at 820 4Th St S , Moorhead MN 56560-3322. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Dahl, Shelley can be contacted via phone (218) 329-6294.Contact Information
Primary practice address
820 4Th St S
Moorhead MN 56560-3322
Phone: (218) 329-6294
Fax: (888) 816-9567
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 1264 | Minnesota |
Profile Details
| NPI number | 1164479242 |
|---|---|
| LBN Legal business name | Dahl, Shelley |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2006 |
| Last updated | Dec 26th, 2023 - about last year |
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 | 1164479242 | NPPES |
| Minnesota | MEDICAID | 897300800 | |
| Minnesota | Other | HP56456 | |
| Minnesota | Other | 1044786 | |
| Minnesota | Other | 137074 | |
| Minnesota | Other | 310P2DA | |
| Minnesota | MEDICAID | 1466191 |
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