Vidal, Dale Collins
Vidal, Dale Collins is an individual health care provider with primary practice located at 127 Mascoma St , Lebanon NH 03766-2661. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Vidal, Dale Collins can be contacted via phone (603) 443-9572.Contact Information
Primary practice address
127 Mascoma St
Lebanon NH 03766-2661
Phone: (603) 443-9572
Fax: (603) 443-9521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 9412 | New Hampshire |
Profile Details
| NPI number | 1639198138 |
|---|---|
| LBN Legal business name | Vidal, Dale Collins |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | May 8th, 2017 - about 8 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 | 1639198138 | NPPES |
| New Hampshire | MEDICAID | 30008405 | |
| New Hampshire | MEDICAID | 0RE3751 |
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