Individual
DALE W. PIGNOLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13951 TERRACE RD, EAST CLEVELAND, OH 44112-4308
(216) 761-3300
Mailing address
498 SANDHURST DR, HIGHLAND HTS, OH 44143-3606
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
35059543
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0921113
—
OH
01
—
942460636431
CARESOURCE
OH
01
—
P00320017
MEDICARE TRAVELERS RR-GA
OH
Enumeration date
05/24/2006
Last updated
07/08/2007
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