Mead, Dale R
Mead, Dale R is an individual health care provider with primary practice located at 350 Lafayette Ave Se 4Th Floor, Grand Rapids MI 49503-4656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mead, Dale R can be contacted via phone (616) 459-9404.Contact Information
Primary practice address
350 Lafayette Ave Se 4Th Floor
Grand Rapids MI 49503-4656
Phone: (616) 459-9404
Fax: (616) 233-1108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 4301043861 | Michigan |
Profile Details
| NPI number | 1518966530 |
|---|---|
| LBN Legal business name | Mead, Dale R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Mar 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518966530 | NPPES |
| Michigan | MEDICAID | 4188451 |
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