Dale, Robert Andrew

Dale, Robert Andrew is an individual health care provider with primary practice located at 600 Davisson Run Rd Suite 200, Clarksburg WV 26301-9307. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Dale, Robert Andrew can be contacted via phone (304) 623-6728.

Contact Information

Primary practice address
600 Davisson Run Rd Suite 200 Clarksburg WV 26301-9307
Phone: (304) 623-6728
Fax: (304) 623-2638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 10395 West Virginia
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N006127 New York

Profile Details

NPI number 1679666911
LBN Legal business name Dale, Robert Andrew
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2006
Last updated Apr 22nd, 2008 - about 18 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 1679666911 NPPES
West Virginia MEDICAID 3810008964
West Virginia Other 311573127
West Virginia Other P00400794
West Virginia Other 10395
West Virginia Other WV10395
West Virginia Other N006127

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