DALE EDWARD FANNING LAC NPI 1588076525

NPI Information

NPI: 1588076525
Provider Name: DALE EDWARD FANNING, LAC
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
1700 SHATTUCK AVE
BERKELEY, CA
ZIP 94709
Phone: (510) 847-9706
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Dale Edward Fanning, LAC is an acupuncturist in Berkeley, CA. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. Dale Edward Fanning, LAC NPI is 1588076525. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1700 SHATTUCK AVE
BERKELEY, CA
ZIP 94709-402
Phone: (510) 847-9706
Fax: (888) 522-6692

The enumeration date for this NPI number is 5/26/2014 and was last updated on 5/26/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171100000X	Acupuncturist		AC 15988	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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