Dalley, Ethan Bernell
Dalley, Ethan Bernell is an sole proprietor health care provider with primary practice located at 3419 22Nd St , Lubbock TX 79410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Dalley, Ethan Bernell can be contacted via phone (806) 796-3000.Contact Information
Primary practice address
3419 22Nd St
Lubbock TX 79410
Phone: (806) 796-3000
Fax: (806) 796-3006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | P9063 | Texas |
Profile Details
| NPI number | 1780818112 |
|---|---|
| LBN Legal business name | Dalley, Ethan Bernell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2009 |
| Last updated | Jul 21st, 2022 - about 3 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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