Southerland, Dale Alan
Southerland, Dale Alan is an sole proprietor health care provider with primary practice located at 3206 Manvel Rd , Pearland TX 77584-7580. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Southerland, Dale Alan can be contacted via phone (281) 997-8788.Contact Information
Primary practice address
3206 Manvel Rd
Pearland TX 77584-7580
Phone: (281) 997-8788
Fax: (281) 997-8797
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 6914 | Texas |
Profile Details
| NPI number | 1518979509 |
|---|---|
| LBN Legal business name | Southerland, Dale Alan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Dec 11th, 2012 - 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 | 1518979509 | NPPES |
| Texas | Other | 605368 | BCBS |
| Texas | MEDICAID | 001896201 | BCBS |
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