Dahlgren, Matthew Alan
Dahlgren, Matthew Alan is an individual health care provider with primary practice located at 1311 S Lincoln St , Elkhorn WI 53121-4375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Dahlgren, Matthew Alan can be contacted via phone (262) 723-4600.Contact Information
Primary practice address
1311 S Lincoln St
Elkhorn WI 53121-4375
Phone: (262) 723-4600
Fax: (262) 723-4710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 48956-020 | Wisconsin |
Profile Details
| NPI number | 1154371367 |
|---|---|
| LBN Legal business name | Dahlgren, Matthew Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Apr 21st, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154371367 | NPPES |
| Wisconsin | MEDICAID | 34667800 |
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