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MICHAEL G DAHLE MDA PROFESSIONAL CORPORATION NPI 1730105198


NPI Information

NPI: 1730105198
Provider Name: MICHAEL G DAHLE MD,A PROFESSIONAL CORPORATION
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
105 MARGARET LN
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 272-9058
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MICHAEL G DAHLE MD,A PROFESSIONAL CORPORATION is a specialist in Grass Valley, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MICHAEL G DAHLE MD,A PROFESSIONAL CORPORATION NPI is 1730105198. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 MARGARET LN
GRASS VALLEY, CA
ZIP 95945-211
Phone: (530) 272-9058
Fax: (530) 272-3324

The provider's authorized official is Michael Dahle .
The authorized official title is Owner and has the following contact phone number (530) 272-9058.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 4/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG41111CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A48458MEDICARE UPINCALIFORNIA
200G411110MEDICAIDCALIFORNIA
300G411110MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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