Dalton, Derek

Dalton, Derek is an individual health care provider with primary practice located at 560 Main Street , Chapmanville WV 25508. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Dalton, Derek can be contacted via phone (304) 928-1446.

Contact Information

Primary practice address
560 Main Street Chapmanville WV 25508
Phone: (304) 928-1446
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 002703 West Virginia

Profile Details

NPI number 1437429198
LBN Legal business name Dalton, Derek
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2012
Last updated Jul 6th, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437429198 NPPES
West Virginia Other 2693183 BCBS
West Virginia MEDICAID 3810023134 BCBS

Popular Providers