DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JONATHAN B DALE MD

MEDICARE: JONATHAN B DALE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician23453WV
2207P00000XEmergency Medicine Physician23453WV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DA7395861OTHERWVMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760481014
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN B DALE MD
Provider Business Mailing Address
First Line : 200 CORPORATE BLVD
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-3870
Country : US
Telephone Number : 800-893-9698
Fax Number :
Provider Business Practice Location Address
First Line : 400 FAIRVIEW HEIGHTS RD
Second Line :
City : SUMMERSVILLE
State : WV
Zip : 26651-9308
Country : US
Telephone Number : 304-872-2891
Fax Number : 304-872-6854
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 04/21/2022

Similar Medicare Providers

1104813740 — SUMMERSVILLE REGIONAL MEDICAL CENTER
Practice Location Address:
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV
26651-9308
Practice Phone: 304-872-2891
Practice Fax: 304-872-8417
1609863265 — DR. ARTHUR WESLEY OLSON MD
Practice Location Address:
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV
26651-9308
Practice Phone: 304-872-7027
Practice Fax: 304-872-0675
1578550141 — DR. PAUL JOSEPH CONLEY D.O.
Practice Location Address:
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV
26651-9308
Practice Phone: 304-872-5124
Practice Fax: 304-872-0675
1841287422 — DR. MARVIN JEROME WURTH M.D.
Practice Location Address:
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV
26651-9308
Practice Phone: 304-872-5124
Practice Fax: 304-872-0675
1275520868 — DR. MICHAEL W LASSERE MD
Practice Location Address:
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV
26651-9308
Practice Phone: 304-872-5381
Practice Fax: 304-872-3989
1750378345 — SUMMERSVILLE OUT PATIENT CENTER
Practice Location Address:
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV
26651-9308
Practice Phone: 304-872-5124
Practice Fax: 304-872-0675

Directions to “ JONATHAN B DALE MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.