Dahlborg, Heidi Susan

Dahlborg, Heidi Susan is an sole proprietor health care provider with primary practice located at 5353 Midland Rd , Sarasota FL 34231-6223. She recently has only one registered license in Other Service Providers / Midwife, Lay, which is considered as her primary health care specialty. Dahlborg, Heidi Susan can be contacted via phone (941) 726-8203.

Contact Information

Primary practice address
5353 Midland Rd Sarasota FL 34231-6223
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife, Lay 175M00000X MW123 Florida

Profile Details

NPI number 1548336993
LBN Legal business name Dahlborg, Heidi Susan
Credentials Licensed Midwife (LM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Feb 23rd, 2015 - about 9 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 1548336993 NPPES
Florida MEDICAID 3404404

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