Dahlstrom, Ralph
Dahlstrom, Ralph is an sole proprietor health care provider with primary practice located at 542 W 2Nd Ave , Anchorage AK 99501-2208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Dahlstrom, Ralph can be contacted via phone (907) 276-1617.Contact Information
Primary practice address
542 W 2Nd Ave
Anchorage AK 99501-2208
Phone: (907) 276-1617
Fax: (907) 264-2687
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 70-30 | New Mexico |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 6199 | Alaska |
Profile Details
| NPI number | 1861617284 |
|---|---|
| LBN Legal business name | Dahlstrom, Ralph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Jan 28th, 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 | 1861617284 | NPPES |
| New Mexico | Other | 14052 | PRESBYTERIAN |
| New Mexico | Other | 0725950001 | PRESBYTERIAN |
| New Mexico | Other | 5681 | PRESBYTERIAN |
| New Mexico | Other | 180043761 | PRESBYTERIAN |
| New Mexico | MEDICAID | 6577 | PRESBYTERIAN |
| New Mexico | Other | 850482482 | PRESBYTERIAN |
| New Mexico | Other | 850482482-01 | PRESBYTERIAN |
| New Mexico | Other | 85-0469981-002 | PRESBYTERIAN |
| New Mexico | Other | 4201 | PRESBYTERIAN |
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