Dalebout, Nicholas

Dalebout, Nicholas is an individual health care provider with primary practice located at 831 W Lockeford St , Lodi CA 95240-1633. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Dalebout, Nicholas can be contacted via phone (209) 331-7451.

Contact Information

Primary practice address
831 W Lockeford St Lodi CA 95240-1633
Phone: (209) 331-7451
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 3808 California

Profile Details

NPI number 1619700028
LBN Legal business name Dalebout, Nicholas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2024
Last updated Aug 21st, 2024 - about 2 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.

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