Dalton, David John

Dalton, David John is an individual health care provider with primary practice located at 357 Cornelia St , Plattsburgh NY 12901-2211. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Dalton, David John can be contacted via phone (518) 561-2100.

Contact Information

Primary practice address
357 Cornelia St Plattsburgh NY 12901-2211
Phone: (518) 561-2100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 030125 New York

Profile Details

NPI number 1730368242
LBN Legal business name Dalton, David John
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2007
Last updated Oct 31st, 2007 - about 19 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 1730368242 NPPES
New York MEDICAID 00483674

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