Dallas, Dale C.

Dallas, Dale C. is an sole proprietor health care provider with primary practice located at 6265 Highway 9 , Felton CA 95018-3909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Psychiatry, which is considered as his primary health care specialty. Dallas, Dale C. can be contacted via phone (831) 239-9913.

Contact Information

Primary practice address
6265 Highway 9 Felton CA 95018-3909
Phone: (831) 239-9913
Fax: (888) 424-0191
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X G37540 California

Profile Details

NPI number 1134207210
LBN Legal business name Dallas, Dale C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2006
Last updated Oct 3rd, 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 1134207210 NPPES
California MEDICAID 00G375400

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