Dahlin, Marshall H
Dahlin, Marshall H is an individual health care provider with primary practice located at 212 S 11Th Street , La Crosse WI 54601. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Dahlin, Marshall H can be contacted via phone (608) 791-9555.Contact Information
Primary practice address
212 S 11Th Street
La Crosse WI 54601
Phone: (608) 791-9555
Fax: (608) 791-9432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 590 | Wisconsin |
Profile Details
| NPI number | 1922055789 |
|---|---|
| LBN Legal business name | Dahlin, Marshall H |
| Credentials | CADC III |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1922055789 | NPPES |
| Wisconsin | MEDICAID | 39322100 |
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