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Contact Information

SHANNAN R DAHL, RN, MT
13801 BRADDOCK SPRINGS RD APT K
CENTREVILLE, VA20121-4245
 Phone: 703-853-3351
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

163WC0200X
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for SHANNAN R DAHL · (Female)

NPI # 1154082212
Status Active
Credentials RN, MT
Entity Individual
Enumeration date 12/31/2021
Last updated 12/31/2021 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0001298714
  • VA License # 0019011674
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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