Deal-Dahle, Dawn L
Deal-Dahle, Dawn L is an individual health care provider with primary practice located at 3902 13Th Ave S , Fargo ND 58103-3357. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Deal-Dahle, Dawn L can be contacted via phone (701) 364-6600.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0230 | South Dakota |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PAC0908 | North Dakota |
Profile Details
| NPI number | 1518922475 |
|---|---|
| LBN Legal business name | Deal-Dahle, Dawn L |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Jan 14th, 2022 - about 2 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 | 1518922475 | NPPES |
| South Dakota | MEDICAID | 6820724 |
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