Dallas, Jerry F

Dallas, Jerry F is an individual health care provider with primary practice located at 1509 Broadway , Bellingham WA 98225-3037. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Dallas, Jerry F can be contacted via phone (360) 733-3775.

Contact Information

Primary practice address
1509 Broadway Bellingham WA 98225-3037
Fax: (360) 647-1936
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH00001047 Washington

Profile Details

NPI number 1528065463
LBN Legal business name Dallas, Jerry F
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 8th, 2007 - about 17 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 1528065463 NPPES
Washington Other CH00001047 STATE OF WA
Washington Other 0014529 STATE OF WA

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