# DALLAS D SCHLEGEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1881623346
- **Gender:** Man
- **Credential:** P.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 40 | NE | Yes |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 10/22/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2554 | MIDLANDS CHOICE | NE |
| 01 | — | 37336 | BLUE CROSS BLUE SHIELD | NE |
| 05 | — | 47049487112 | — | NE |