Dahlgren, Barry Albert
Dahlgren, Barry Albert is an sole proprietor health care provider with primary practice located at 3670 S 108Th St Ste 204, Greenfield WI 53228-1237. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dahlgren, Barry Albert can be contacted via phone (414) 453-1010.Contact Information
Primary practice address
3670 S 108Th St Ste 204
Greenfield WI 53228-1237
Phone: (414) 453-1010
Fax: (414) 425-4230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | WI1460 | Wisconsin |
Profile Details
| NPI number | 1235281270 |
|---|---|
| LBN Legal business name | Dahlgren, Barry Albert |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jan 23rd, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235281270 | NPPES |
| Wisconsin | MEDICAID | 38511700 |
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