Dahlgren, Timothy Jon
Dahlgren, Timothy Jon is an sole proprietor health care provider with primary practice located at 2520 Cherry Ave , Bremerton WA 98310-4229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dahlgren, Timothy Jon can be contacted via phone (360) 792-6710.Contact Information
Primary practice address
2520 Cherry Ave
Bremerton WA 98310-4229
Phone: (360) 792-6710
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD00028201 | Washington |
Profile Details
| NPI number | 1457394207 |
|---|---|
| LBN Legal business name | Dahlgren, Timothy Jon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| Last updated | May 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457394207 | NPPES |
| Washington | MEDICAID | 8125130 |
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