Dahle, Michael G

Dahle, Michael G is an individual health care provider with primary practice located at 105 Margaret Ln Suite B, Grass Valley CA 95945-5211. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Dahle, Michael G can be contacted via phone (530) 272-9058.

Contact Information

Primary practice address
105 Margaret Ln Suite B Grass Valley CA 95945-5211
Fax: (530) 272-3324
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G41111 California

Profile Details

NPI number 1760454938
LBN Legal business name Dahle, Michael G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Apr 14th, 2008 - 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 1760454938 NPPES
California MEDICAID 00G411110

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