Dahlke, Steven K
Dahlke, Steven K is an individual health care provider with primary practice located at 1590 Paseo San Luis Suite 102, Sierra Vista AZ 85635-4782. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dahlke, Steven K can be contacted via phone (520) 459-0203.Contact Information
Primary practice address
1590 Paseo San Luis Suite 102
Sierra Vista AZ 85635-4782
Phone: (520) 459-0203
Fax: (520) 364-4261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | M7658 | Idaho |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 50097 | Arizona |
Profile Details
| NPI number | 1710976337 |
|---|---|
| LBN Legal business name | Dahlke, Steven K |
| Credentials | MD. PEDIATRICS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Mar 10th, 2015 - about 9 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 | 1710976337 | NPPES |
| Idaho | MEDICAID | 805290700 | |
| Idaho | Other | DX142 | |
| Idaho | Other | 000010004986 |
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