Rauch, Dale E

Rauch, Dale E is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Rauch, Dale E can be contacted via phone (508) 856-6580.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 59294 Massachusetts

Profile Details

NPI number 1124013271
LBN Legal business name Rauch, Dale E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Aug 15th, 2009 - about 15 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 1124013271 NPPES
Massachusetts MEDICAID 3063844

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