Dahlin, Kenneth Charles
Dahlin, Kenneth Charles is an individual health care provider with primary practice located at 4502 S Steele St Ste 304B, Tacoma WA 98409-7242. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dahlin, Kenneth Charles can be contacted via phone (253) 475-3937.Contact Information
Primary practice address
4502 S Steele St Ste 304B
Tacoma WA 98409-7242
Phone: (253) 475-3937
Fax: (253) 473-4278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OD00001353 | Washington |
Profile Details
| NPI number | 1699770461 |
|---|---|
| LBN Legal business name | Dahlin, Kenneth Charles |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Dec 26th, 2012 - about 12 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 | 1699770461 | NPPES |
| Washington | MEDICAID | 2029411 |
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