Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | MD08232 | RI |
N | 208000000X | Pediatrician | MD08232 | RI |
Y | 2080P0204X | Pediatric Emergency Doctor | MD08232 | RI |
NPI | 1033125166 |
---|---|
Provider Name | Dale Steele |
First Address | Providence, RI 02940-9484 |
Second Address | Providence, RI 02903-4923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 08/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04/15/2009 | UNITED HEALTH CARE (01) | RI |
06/01/2007 | BCBS (01) | RI |
10/08/2009 | NHPRI (01) | RI |
12/29/2008 | TUFTS HEALTH PLAN (01) | MA |
3186466 | (05) | MA |
7002877 | (05) | RI |
939025129 | RI MEDICARE GROUP NUMBER (01) | RI |
E71414 | (02) | RI |