Phelps, Dale L
Phelps, Dale L is an individual health care provider with primary practice located at 601 Elmwood Ave Box 635, Rochester NY 14642-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Phelps, Dale L can be contacted via phone (585) 275-7787.Contact Information
Primary practice address
601 Elmwood Ave Box 635
Rochester NY 14642-0001
Phone: (585) 275-7787
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 157240 | New York |
Profile Details
| NPI number | 1891707980 |
|---|---|
| LBN Legal business name | Phelps, Dale L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891707980 | NPPES |
| New York | MEDICAID | 00841121 |
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