Dahl, William K

Dahl, William K is an sole proprietor health care provider with primary practice located at 205 French St , Bangor ME 04401-5064. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Dahl, William K can be contacted via phone (207) 945-5554.

Contact Information

Primary practice address
205 French St Bangor ME 04401-5064
Fax: (207) 945-5196
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X POD200 Maine

Profile Details

NPI number 1821141326
LBN Legal business name Dahl, William K
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated May 21st, 2009 - about 16 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 1821141326 NPPES
Maine MEDICAID 220000000
Maine Other 010476684

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