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Contact Information

DALE A KIRBY
62 ANDERSON STATE ROAD
FAYETTEVILLE, OH45118
 Phone: 937-205-2337
 Fax: 513-875-2811
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Modifications

171WH0202X
Indicates primary specialty

NPI Profile & details for DALE A KIRBY · (Male)

NPI Number 1063500700
Status Active
Credentials
Entity Individual
Enumeration date 10/10/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 2291023
  • OH Medicaid 2291023
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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