Park, Dale

Park, Dale is an individual health care provider with primary practice located at 1545 W Mockingbird Ln Suite 3005, Dallas TX 75235-5014. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Park, Dale can be contacted via phone (214) 819-9911.

Contact Information

Primary practice address
1545 W Mockingbird Ln Suite 3005 Dallas TX 75235-5014
Phone: (214) 819-9911
Fax: (214) 819-9944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1871751404
LBN Legal business name Park, Dale
Credentials CERTPS
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2008
Last updated May 30th, 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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