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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225246937 NPPES
Pennsylvania MEDICAID 103760371
Pennsylvania Other 11738527
Pennsylvania Other PC003542

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