Rodrigue, Dale L
Rodrigue, Dale L is an sole proprietor health care provider with primary practice located at 58 State Street , Augusta ME 04330. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rodrigue, Dale L can be contacted via phone (207) 623-5099.Contact Information
Primary practice address
58 State Street
Augusta ME 04330
Phone: (207) 623-5099
Fax: (207) 623-7124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 690T ADVANCED | Maine |
Profile Details
| NPI number | 1427164045 |
|---|---|
| LBN Legal business name | Rodrigue, Dale L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Jul 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427164045 | NPPES |
| Maine | MEDICAID | 114510000 |
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