Mansfield, Dale L
Mansfield, Dale L is an sole proprietor health care provider with primary practice located at 4107 W Illinois , Midland TX 79703. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mansfield, Dale L can be contacted via phone (432) 697-1643.Contact Information
Primary practice address
4107 W Illinois
Midland TX 79703
Phone: (432) 697-1643
Fax: (432) 694-7939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC2347 | Texas |
Profile Details
| NPI number | 1609973502 |
|---|---|
| LBN Legal business name | Mansfield, Dale L |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Feb 19th, 2013 - about 12 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 | 1609973502 | NPPES |
| Texas | MEDICAID | 000929201 |
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