1427059088 NPI number — CARLA R DAHL CADC III

Table of content: CARLA R DAHL CADC III (NPI 1427059088)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427059088 NPI number — CARLA R DAHL CADC III

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DAHL
Provider First Name:
CARLA
Provider Middle Name:
R
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CADC III
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427059088
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/07/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1836 SOUTH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LA CROSSE
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
54601-5429
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
608-782-7300
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
123 16TH AVE S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ONALASKA
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54650-3109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-775-8646
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/04/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 39349600 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".




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