Mayrose, Dale R

Mayrose, Dale R is an individual health care provider with primary practice located at 10590 N Meridian St , Indianapolis IN 46290-1028. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Mayrose, Dale R can be contacted via phone (317) 338-6666.

Contact Information

Primary practice address
10590 N Meridian St Indianapolis IN 46290-1028
Phone: (317) 338-6666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01056506A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01056506A Indiana

Profile Details

NPI number 1821066275
LBN Legal business name Mayrose, Dale R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Nov 3rd, 2014 - about 10 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 1821066275 NPPES
Indiana MEDICAID 200406550

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