Dang, Bao L

Dang, Bao L is an individual health care provider with primary practice located at 1606 N 7Th St , Terre Haute IN 47804-2706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dang, Bao L can be contacted via phone (812) 238-7523.

Contact Information

Primary practice address
1606 N 7Th St Terre Haute IN 47804-2706
Phone: (812) 238-7523
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301094834 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036151901 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01070957A Indiana

Profile Details

NPI number 1740502509
LBN Legal business name Dang, Bao L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2010
Last updated Oct 25th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740502509 NPPES
Indiana MEDICAID 201069920

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