Illingworth, Dale A
Illingworth, Dale A is an sole proprietor health care provider with primary practice located at 3621 Ribbon Dr , Indianapolis IN 46227-8167. He recently has only one registered license in Nursing Service Related Providers / Adult Companion, which is considered as his primary health care specialty. Illingworth, Dale A can be contacted via phone (317) 652-6667.Contact Information
Primary practice address
3621 Ribbon Dr
Indianapolis IN 46227-8167
Phone: (317) 652-6667
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Adult Companion | 372600000X | Indiana |
Profile Details
| NPI number | 1225658644 |
|---|---|
| LBN Legal business name | Illingworth, Dale A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2020 |
| Last updated | Apr 26th, 2020 - about 6 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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