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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396729505 NPPES
Other 470001526 RR MEDICARE
MEDICAID 407193000 RR MEDICARE
Other 016879W30 RR MEDICARE

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