Dale, James

Dale, James is an individual health care provider with primary practice located at 13215 Brook Lane , Hagerstown MD 21742-1514. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Dale, James can be contacted via phone (301) 733-0331.

Contact Information

Primary practice address
13215 Brook Lane Hagerstown MD 21742-1514
Phone: (301) 733-0331
Fax: (301) 733-4038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X AC0730 Maryland

Profile Details

NPI number 1801867460
LBN Legal business name Dale, James
Credentials CAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Mar 23rd, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801867460 NPPES
Maryland MEDICAID 698800800
Maryland MEDICAID 986965400

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