Dales, Linda Mary

Dales, Linda Mary is an individual health care provider with primary practice located at 1516 23Rd Ave , Meridian MS 39301-4026. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Dales, Linda Mary can be contacted via phone (601) 703-3820.

Contact Information

Primary practice address
1516 23Rd Ave Meridian MS 39301-4026
Phone: (601) 703-3820
Fax: (601) 703-0125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 200000203 North Carolina
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 30413 South Carolina
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 21644 Mississippi

Profile Details

NPI number 1366498677
LBN Legal business name Dales, Linda Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Nov 12th, 2012 - about 14 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 1366498677 NPPES
South Carolina MEDICAID 304138
South Carolina Other P00326699
South Carolina MEDICAID 00358088
South Carolina Other 12700
South Carolina MEDICAID 8912700
South Carolina MEDICAID GP4505
South Carolina Other 188453
South Carolina Other 2119923

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