Green, Dale Allen

Green, Dale Allen is an individual health care provider with primary practice located at 31946 Mission Trl Ste B , Lake Elsinore CA 92530-4539. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Green, Dale Allen can be contacted via phone (951) 471-4300.

Contact Information

Primary practice address
31946 Mission Trl Ste B Lake Elsinore CA 92530-4539
Phone: (951) 471-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1427512656
LBN Legal business name Green, Dale Allen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2019
Last updated Jan 22nd, 2019 - about 7 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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