Dale-Walek, Debra L.

Dale-Walek, Debra L. is an sole proprietor health care provider with primary practice located at 200 High Service Ave , North Providence RI 02904-5113. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Dale-Walek, Debra L. can be contacted via phone (401) 456-3000.

Contact Information

Primary practice address
200 High Service Ave North Providence RI 02904-5113
Phone: (401) 456-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD07335 Rhode Island
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD07335 Rhode Island

Profile Details

NPI number 1265407746
LBN Legal business name Dale-Walek, Debra L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2006
Last updated Sep 16th, 2008 - 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 1265407746 NPPES
Rhode Island Other 27417-3 BLUECROSS BLUESHIELD
Rhode Island Other P00167240 BLUECROSS BLUESHIELD
Rhode Island Other 401267 BLUECROSS BLUESHIELD
Rhode Island MEDICAID 7002303 BLUECROSS BLUESHIELD

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