Dale, Peter Allen

Dale, Peter Allen is an individual health care provider with primary practice located at 130 Fisher Rd Mob-B Suite 3, Berlin VT 05602-9516. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dale, Peter Allen can be contacted via phone (802) 225-5400.

Contact Information

Primary practice address
130 Fisher Rd Mob-B Suite 3 Berlin VT 05602-9516
Phone: (802) 225-5400
Fax: (802) 225-5401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0420007795 Vermont
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 042.0007795 Vermont

Profile Details

NPI number 1649266966
LBN Legal business name Dale, Peter Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Dec 4th, 2014 - about 12 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 1649266966 NPPES
Vermont MEDICAID 0009289

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