Bardales, Delores Ellen

Bardales, Delores Ellen is an individual health care provider with primary practice located at 618 Pleasantville Rd Suite 101, Lancaster OH 43130-3312. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bardales, Delores Ellen can be contacted via phone (740) 653-7511.

Contact Information

Primary practice address
618 Pleasantville Rd Suite 101 Lancaster OH 43130-3312
Phone: (740) 653-7511
Fax: (740) 653-7512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X COA.09079-NP Ohio

Profile Details

NPI number 1295821627
LBN Legal business name Bardales, Delores Ellen
Credentials MSN, APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Aug 19th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295821627 NPPES
Ohio MEDICAID 2750394

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