Beauvais, Dale Lee
Beauvais, Dale Lee is an sole proprietor health care provider with primary practice located at 2600 Roosevelt Rd , Valparaiso IN 46383-0970. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Beauvais, Dale Lee can be contacted via phone (219) 465-5015.Contact Information
Primary practice address
2600 Roosevelt Rd
Valparaiso IN 46383-0970
Phone: (219) 465-5015
Fax: (219) 548-3828
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 08001767A | Indiana |
Profile Details
| NPI number | 1760506554 |
|---|---|
| LBN Legal business name | Beauvais, Dale Lee |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Jun 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760506554 | NPPES |
| Indiana | MEDICAID | 200155470C | |
| Indiana | Other | 90000986 | |
| Indiana | Other | 000000093417 | |
| Indiana | Other | 350049047 |
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