Deloatch, Lester Dace
Deloatch, Lester Dace is an sole proprietor health care provider with primary practice located at 1315 Windrim Ave , Philadelphia PA 19141-2710. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Deloatch, Lester Dace can be contacted via phone (215) 456-2707.Contact Information
Primary practice address
1315 Windrim Ave
Philadelphia PA 19141-2710
Phone: (215) 456-2707
Fax: (215) 456-2713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1548440969 |
|---|---|
| LBN Legal business name | Deloatch, Lester Dace |
| Credentials | Master of Health Science (MHS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2007 |
| Last updated | Nov 14th, 2007 - about 19 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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