Dale, Benjamin
Dale, Benjamin is an individual health care provider with primary practice located at 48 Medical Park Dr E Ste 354 , Birmingham AL 35235-3469. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Dale, Benjamin can be contacted via phone (866) 546-2124.Contact Information
Primary practice address
48 Medical Park Dr E Ste 354
Birmingham AL 35235-3469
Phone: (866) 546-2124
Fax: (866) 546-2124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA70 | Alabama |
Profile Details
| NPI number | 1285664730 |
|---|---|
| LBN Legal business name | Dale, Benjamin |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jul 10th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285664730 | NPPES |
| Alabama | MEDICAID | 000042307 |
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