Salatich, Dale Graham
Salatich, Dale Graham is an sole proprietor health care provider with primary practice located at 745 N Magnolia Ave. Suite 201, Orlando FL 32803-3835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as his primary health care specialty. Salatich, Dale Graham can be contacted via phone (407) 299-7333.Contact Information
Primary practice address
745 N Magnolia Ave. Suite 201
Orlando FL 32803-3835
Phone: (407) 299-7333
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | ME53091 | Florida |
Profile Details
NPI number | 1689677965 |
---|---|
LBN Legal business name | Salatich, Dale Graham |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 31st, 2005 |
Last updated | Oct 20th, 2013 - about 12 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 | 1689677965 | NPPES |
Florida | MEDICAID | 049534400 | |
Florida | Other | 623763 | |
Florida | Other | 05974 | |
Florida | Other | 4071383 | |
Florida | Other | FEIN |
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