Provider Demographics
NPI:1073674057
Name:EBLING, DALE ED (DC)
Entity Type:Individual
Prefix:DR
First Name:DALE
Middle Name:ED
Last Name:EBLING
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:3469 W BOYNTON BEACH BLVD SUITE 10
Mailing Address - Street 2:DALE E EBLING DC
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436
Mailing Address - Country:US
Mailing Address - Phone:561-732-5885
Mailing Address - Fax:561-588-3727
Practice Address - Street 1:3469 W BOYNTON BEACH BLVD SUITE 10
Practice Address - Street 2:DALE E EBLING DC
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436
Practice Address - Country:US
Practice Address - Phone:561-732-5885
Practice Address - Fax:561-588-3727
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2011-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLCH0005852111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
22251Medicare UPIN
22251Medicare ID - Type Unspecified