Lisonbee, Dale

Lisonbee, Dale is an individual health care provider with primary practice located at 1350 Teakwood Ave , Coos Bay OR 97420-2537. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Lisonbee, Dale can be contacted via phone (541) 266-4019.

Contact Information

Primary practice address
1350 Teakwood Ave Coos Bay OR 97420-2537
Phone: (541) 266-4019
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 21124 Oregon

Profile Details

NPI number 1750782751
LBN Legal business name Lisonbee, Dale
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2014
Last updated Sep 9th, 2014 - about 12 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 1750782751 NPPES
Oregon MEDICAID 121108

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