Smith, Dale R

Smith, Dale R is an individual health care provider with primary practice located at 223 E Center St , Manchester CT 06040-5207. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Smith, Dale R can be contacted via phone (860) 432-4590.

Contact Information

Primary practice address
223 E Center St Manchester CT 06040-5207
Phone: (860) 432-4590
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000301 Connecticut
Behavioral Health & Social Service Providers / Professional 101YP2500X 001085 Connecticut

Profile Details

NPI number 1457324873
LBN Legal business name Smith, Dale R
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jul 8th, 2007 - about 19 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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