Dial, Alphonso Lane
Dial, Alphonso Lane is an individual health care provider with primary practice located at 122 Defense Hwy Chesapeake Medical Imaging, Annapolis MD 21401-7069. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Dial, Alphonso Lane can be contacted via phone (410) 571-0350.Contact Information
Primary practice address
122 Defense Hwy Chesapeake Medical Imaging
Annapolis MD 21401-7069
Phone: (410) 571-0350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D0038908 | Maryland |
Profile Details
| NPI number | 1396729505 |
|---|---|
| LBN Legal business name | Dial, Alphonso Lane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Nov 2nd, 2012 - about 12 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 | 1396729505 | NPPES |
| Other | 470001526 | RR MEDICARE | |
| MEDICAID | 407193000 | RR MEDICARE | |
| Other | 016879W30 | RR MEDICARE |
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