Bardales, Delores Ellen
Bardales, Delores Ellen is an individual health care provider with primary practice located at 618 Pleasantville Rd Suite 101, Lancaster OH 43130-3312. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bardales, Delores Ellen can be contacted via phone (740) 653-7511.Contact Information
Primary practice address
618 Pleasantville Rd Suite 101
Lancaster OH 43130-3312
Phone: (740) 653-7511
Fax: (740) 653-7512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | COA.09079-NP | Ohio |
Profile Details
| NPI number | 1295821627 |
|---|---|
| LBN Legal business name | Bardales, Delores Ellen |
| Credentials | MSN, APRN-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Aug 19th, 2015 - about 10 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 | 1295821627 | NPPES |
| Ohio | MEDICAID | 2750394 |
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