Dahlberg, Katherine Willett

Dahlberg, Katherine Willett is an individual health care provider with primary practice located at 200 Patewood Dr Ste B350 , Greenville SC 29615-6337. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Dahlberg, Katherine Willett can be contacted via phone (864) 454-4500.

Contact Information

Primary practice address
200 Patewood Dr Ste B350 Greenville SC 29615-6337
Fax: (864) 454-4505
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35316 South Carolina

Profile Details

NPI number 1629314836
LBN Legal business name Dahlberg, Katherine Willett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2012
Last updated Sep 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629314836 NPPES
South Carolina MEDICAID 353165

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