Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JONATHAN ROBERT DALE, PA-C
DeactivatedMR. JONATHAN ROBERT DALE, PA-C is a Physician Assistant healthcare provider located in WALLINGFORD, Connecticut. NPI 1962724260 is deactivated in the NPPES registry. Verify at CMS.
Physician Assistant · WALLINGFORD, CT
This NPI has been deactivated.
The record was deactivated on January 21, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1962724260
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 28, 2010 (8.8958904109589 yrs)
- Last Updated
- Dec 21, 2019
- Deactivated
- Jan 21, 2019
- License
-
4398 (CT)
Practice Information
- Address
-
863 N MAIN STREET EXT STE 200WALLINGFORD, CT, 064922434Browse CT providers · Browse ZIP 06492
- Phone
- 2032653280
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WALLINGFORD, CT
| Name | Credential | NPI |
|---|---|---|
| MARY E. CASH | PA | 1316923501 |
| GINA MORGENSTEIN | P.A. | 1497769608 |
| MS. ROBIN CHRISTI KENNA | PA-C | 1285734533 |
| JOHN MARK FARRELL | P.A. | 1457478984 |
| MEGHAN PREVOST | PA-C | 1588135966 |
| KATHRYN NICOLE SUNDBERG | — | 1659844926 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.