Dale, Lynn Raoul
Dale, Lynn Raoul is an individual health care provider with primary practice located at 1000 Health Center Dr , Mattoon IL 61938-9253. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Dale, Lynn Raoul can be contacted via phone (217) 258-2141.Contact Information
Primary practice address
1000 Health Center Dr
Mattoon IL 61938-9253
Phone: (217) 258-2141
Fax: (217) 528-2336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036044263 | Illinois |
Profile Details
| NPI number | 1760477004 |
|---|---|
| LBN Legal business name | Dale, Lynn Raoul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Oct 3rd, 2013 - about 13 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 | 1760477004 | NPPES |
| Illinois | MEDICAID | 036044263 |
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