Smith, Dale Kevin
Smith, Dale Kevin is an individual health care provider with primary practice located at 111 Colchester Ave Wp4--Otolaryngology, Burlington VT 05401-1473. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Smith, Dale Kevin can be contacted via phone (802) 847-4535.Contact Information
Primary practice address
111 Colchester Ave Wp4--Otolaryngology
Burlington VT 05401-1473
Phone: (802) 847-4535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 320471-4101 | Utah |
Profile Details
| NPI number | 1841346855 |
|---|---|
| LBN Legal business name | Smith, Dale Kevin |
| Credentials | AUDIOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Sep 27th, 2013 - about 11 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 | 1841346855 | NPPES |
| Utah | MEDICAID | 999000021033 D1463 |
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