Dahlen, Richard Thomas

Dahlen, Richard Thomas is an individual health care provider with primary practice located at 2419 Mullan Rd , Missoula MT 59808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Dahlen, Richard Thomas can be contacted via phone (406) 721-4906.

Contact Information

Primary practice address
2419 Mullan Rd Missoula MT 59808
Phone: (406) 721-4906
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 10514 Montana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD60705352 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 10514 Montana

Profile Details

NPI number 1972542173
LBN Legal business name Dahlen, Richard Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Nov 13th, 2019 - about 5 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 1972542173 NPPES
Washington MEDICAID 1041751
Washington Other 1972542173

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