Corrine Ann Dale in Saint Louis - Addiction Medicine
Corrine Ann Dale - NPI 1568660447
Corrine Ann Dale is a Addiction Medicine in Saint Louis, Missouri. Corrine Ann Dale practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Corrine Ann Dale is 1568660447. The last update date is 2021-09-12.
Corrine Ann Dale's current location address is 1408 Farmview Ave, Saint Louis, Missouri. You can contact this provider via phone number 3142160199 and fax number 3147418992. The mailing address for Corrine Ann Dale is 1408 Farmview Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Corrine Ann Dale |
|---|---|
| Address | 1408 Farmview Ave, Saint Louis, Missouri |
| Phone Number | 3142160199 |
| Fax Number | 3147418992 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1568660447 |
|---|---|
| Provider Enumeration Date | 2007-07-03 |
| Last Updated Date | 2021-09-12 |
Provider Mailing Address Detail
| Address | 1408 Farmview Ave |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631382515 |
| Phone Number | 3142160199 |
| Fax Number | 3147418992 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | W236154637 |
|
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 497178301 | MO | -- |
Post Comment/ Review Below
What is the Corrine Ann Dale's 1568660447?
The Corrine Ann Dale's NPI (National Provider Identifier) Number is 1568660447. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Corrine Ann Dale is physically located?
The Corrine Ann Dale is situated at the following address: 1408 Farmview Ave, Saint Louis, MO 631382515.
What is the Corrine Ann Dale's area of specialization and corresponding taxonomy classification?
The Corrine Ann Dale's specialty field is Addiction Medicine, and it falls under the taxonomy code 2084A0401X, which categorizes healthcare providers based on their specialties.
On what date did the Corrine Ann Dale receive its 1568660447 assignment from the Centers for Medicare & Medicaid Services?
The Corrine Ann Dale was assigned its 1568660447 by the Centers for Medicare & Medicaid Services on 2007-07-03.
When was the information regarding Corrine Ann Dale most recently updated?
The details pertaining to the Corrine Ann Dale, including its address, specialty, and other relevant information, were last refreshed on 2021-09-12.
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