White, Dale L
White, Dale L is an sole proprietor health care provider with primary practice located at 1141 Long Ave , Fort Worth TX 76114-3012. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. White, Dale L can be contacted via phone (817) 625-1165.Contact Information
Primary practice address
1141 Long Ave
Fort Worth TX 76114-3012
Phone: (817) 625-1165
Fax: (817) 740-1701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2672 | Texas |
Profile Details
| NPI number | 1841273182 |
|---|---|
| LBN Legal business name | White, Dale L |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Mar 14th, 2008 - about 16 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 | 1841273182 | NPPES |
| Texas | MEDICAID | C06009549 |
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