National Provider Identifier Database

TOMMIE DALE
Home Health


Contact Information

TOMMIE DALE
3834 KENTUCKY DERBY DR
FLORISSANT, MO63034-3323
Phone: 314-276-8596
Fax:
Website:
Specialty Taxonomy Code
* Home Health 163WH0200X

* Indicates primary specialty

NPI Profile & details for TOMMIE DALE

NPI Number 1861995136
Credentials
Entity Individual
Enumeration date 03/13/2018
Last updated 03/13/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 2007024069
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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