Dale, Robert E

Dale, Robert E is an individual health care provider with primary practice located at 1335 Belmont Ave , Youngstown OH 44504-1135. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Dale, Robert E can be contacted via phone (234) 233-2849.

Contact Information

Primary practice address
1335 Belmont Ave Youngstown OH 44504-1135
Phone: (234) 233-2849
Fax: (330) 747-2211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA055732 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.003949RX Ohio

Profile Details

NPI number 1306198239
LBN Legal business name Dale, Robert E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2012
Last updated Feb 21st, 2025 - about last year

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 1306198239 NPPES
Ohio MEDICAID 0109347

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