Braithwaite, Dale Evan
Braithwaite, Dale Evan is an sole proprietor health care provider with primary practice located at 17601 De Long Cir , Huntington Beach CA 92649-4902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Braithwaite, Dale Evan can be contacted via phone (714) 614-1843.Contact Information
Primary practice address
17601 De Long Cir
Huntington Beach CA 92649-4902
Phone: (714) 614-1843
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | G39582 | California |
Profile Details
NPI number | 1255316170 |
---|---|
LBN Legal business name | Braithwaite, Dale Evan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 13th, 2005 |
Last updated | Jul 2nd, 2014 - about 10 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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