Dale, Thomas Andrew

Dale, Thomas Andrew is an individual health care provider with primary practice located at 740 South Limestone Street Uhs B-163 Kentucky Clinic, Lexington KY 40536-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Dale, Thomas Andrew can be contacted via phone (859) 323-5823.

Contact Information

Primary practice address
740 South Limestone Street Uhs B-163 Kentucky Clinic Lexington KY 40536-0001
Phone: (859) 323-5823
Fax: (859) 323-1119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 16779 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16779 Kentucky

Profile Details

NPI number 1851377915
LBN Legal business name Dale, Thomas Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jul 8th, 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 1851377915 NPPES
Kentucky MEDICAID 64167794

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