Provider Demographics
NPI:1982025037
Name:BLAINE C. DAHL
Entity Type:Organization
Organization Name:BLAINE C. DAHL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL ADVISOR
Authorized Official - Prefix:
Authorized Official - First Name:BLAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-415-4447
Mailing Address - Street 1:2828 HAYES RD
Mailing Address - Street 2:APT 2612
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-6633
Mailing Address - Country:US
Mailing Address - Phone:979-415-4447
Mailing Address - Fax:
Practice Address - Street 1:2828 HAYES RD
Practice Address - Street 2:APT 2612
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-6633
Practice Address - Country:US
Practice Address - Phone:979-415-4447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-16
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1642386251X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage