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:
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Health care specialties

SpecialtyCodeLicense #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 9 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 1639198138 NPPES
New Hampshire MEDICAID 30008405
New Hampshire MEDICAID 0RE3751

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