Keppley, Dale L

Keppley, Dale L is an sole proprietor health care provider with primary practice located at 727 Stillview Cir , Brandon FL 33510-2146. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as his primary health care specialty. Keppley, Dale L can be contacted via phone (813) 684-1601.

Contact Information

Primary practice address
727 Stillview Cir Brandon FL 33510-2146
Phone: (813) 684-1601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1730132838
LBN Legal business name Keppley, Dale L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Jun 20th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730132838 NPPES
Florida Other 688018598 MED WAIVER PROVIDER #

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