Wendy Eda Shaw Dahl in San Luis Obispo - Specialist

Wendy Eda Shaw Dahl - NPI 1760517023

Wendy Eda Shaw Dahl is a Specialist in San Luis Obispo, California. Wendy Eda Shaw Dahl practices all healthcare services and medical treatments related to Specialist. The NPI Number for Wendy Eda Shaw Dahl is 1760517023. The last update date is 2007-07-08.

Wendy Eda Shaw Dahl's current location address is Po Box 12046, San Luis Obispo, California. You can contact this provider via phone number 8057482335 and fax number 8055446262. The mailing address for Wendy Eda Shaw Dahl is Po Box 12046, San Luis Obispo, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Wendy Eda Shaw Dahl
Address Po Box 12046, San Luis Obispo, California
Phone Number 8057482335
Fax Number 8055446262
Sole Proprietor Y
Credentials MPT

NPI Number Detail

NPI Number 1760517023
Provider Enumeration Date 2007-02-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 12046
City San Luis Obispo
State California (CA)
Post Code 934062046
Phone Number 8057482335
Fax Number 8055446262

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No PT26044
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PT26044 CA LICENSE

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FAQs about Wendy Eda Shaw Dahl

What is the unique 10-digit identifier code issued to Wendy Eda Shaw Dahl by the Centers for Medicare & Medicaid Services?

The Wendy Eda Shaw Dahl has been assigned the NPI (National Provider Identifier) 1760517023 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Wendy Eda Shaw Dahl's facilities are situated?

The facilities of Wendy Eda Shaw Dahl are physically located at the following address: Po Box 12046, San Luis Obispo, CA, 934062046.

What is Wendy Eda Shaw Dahl's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Wendy Eda Shaw Dahl is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

When did Wendy Eda Shaw Dahl receive its 1760517023 assignment?

The Wendy Eda Shaw Dahl was assigned its 1760517023 on 2007-02-23, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Wendy Eda Shaw Dahl, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Wendy Eda Shaw Dahl, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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