Kelly, Dan Dale

Kelly, Dan Dale is an sole proprietor health care provider with primary practice located at 120 Birch St , Shady Cove OR 97539. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Driver, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion. Nursing Service Related Providers / Adult Companion is his primary health care specialty. Kelly, Dan Dale can be contacted via phone (541) 878-2429.

Contact Information

Primary practice address
120 Birch St Shady Cove OR 97539
Phone: (541) 878-2429
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Adult Companion 372600000X

Profile Details

NPI number 1285952101
LBN Legal business name Kelly, Dan Dale
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2010
Last updated May 17th, 2010 - 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.

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