Brickley, Dale J
Brickley, Dale J is an individual health care provider with primary practice located at 283 S Butler Rd , Lebanon PA 17042-8939. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Brickley, Dale J can be contacted via phone (717) 273-8871.Contact Information
Primary practice address
283 S Butler Rd
Lebanon PA 17042-8939
Phone: (717) 273-8871
Fax: (717) 270-2452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PC003542 | Pennsylvania |
Profile Details
| NPI number | 1225246937 |
|---|---|
| LBN Legal business name | Brickley, Dale J |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2007 |
| Last updated | Nov 10th, 2022 - about 2 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 | 1225246937 | NPPES |
| Pennsylvania | MEDICAID | 103760371 | |
| Pennsylvania | Other | 11738527 | |
| Pennsylvania | Other | PC003542 |
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