Kirby, Dale Anthony
Kirby, Dale Anthony is an sole proprietor health care provider with primary practice located at 62 Anderson State Road , Fayetteville OH 45118. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Kirby, Dale Anthony can be contacted via phone (937) 205-2337.Contact Information
Primary practice address
62 Anderson State Road
Fayetteville OH 45118
Phone: (937) 205-2337
Fax: (513) 875-2811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Home Modifications | 171WH0202X | 2291023 | Ohio |
Profile Details
| NPI number | 1063500700 |
|---|---|
| LBN Legal business name | Kirby, Dale Anthony |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063500700 | NPPES |
| Ohio | MEDICAID | 2291023 |
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