Dale, Heather H

Dale, Heather H is an sole proprietor health care provider with primary practice located at 15 Brittany Ct , Northport NY 11768. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Dale, Heather H can be contacted via phone (631) 889-0211.

Contact Information

Primary practice address
15 Brittany Ct Northport NY 11768
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 2438521 New York

Profile Details

NPI number 1043499189
LBN Legal business name Dale, Heather H
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2007
Last updated Oct 25th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043499189 NPPES
New York MEDICAID 01629941

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