Eborn, Dale
Eborn, Dale is an sole proprietor health care provider with primary practice located at 8500 S. Ten Mile Rd , Marysvale UT 84750. He recently has 2 registered licenses in different health care specialties including Agencies / Foster Care Agency, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Eborn, Dale can be contacted via phone (435) 326-4300.Contact Information
Primary practice address
8500 S. Ten Mile Rd
Marysvale UT 84750
Phone: (435) 326-4300
Fax: (435) 326-4313
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Foster Care Agency | 253J00000X | ||
Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
NPI number | 1477868354 |
---|---|
LBN Legal business name | Eborn, Dale |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 16th, 2010 |
Last updated | Aug 24th, 2010 - about 15 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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