Abbott, Dale R
Abbott, Dale R is an individual health care provider with primary practice located at 835 East Fairhaven Avenue , Burlington WA 98233-0329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Abbott, Dale R can be contacted via phone (360) 755-0641.Contact Information
Primary practice address
835 East Fairhaven Avenue
Burlington WA 98233-0329
Phone: (360) 755-0641
Fax: (360) 755-1405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25209MD00025894 | Washington |
Profile Details
| NPI number | 1760453534 |
|---|---|
| LBN Legal business name | Abbott, Dale R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Nov 1st, 2011 - about 13 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 | 1760453534 | NPPES |
| Washington | MEDICAID | 1054188 |
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