Dalton, Douglas

Dalton, Douglas is an individual health care provider with primary practice located at 2503 Forest Hills Rd W Ste B , Wilson NC 27893-3392. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Dalton, Douglas can be contacted via phone (252) 991-0555.

Contact Information

Primary practice address
2503 Forest Hills Rd W Ste B Wilson NC 27893-3392
Phone: (252) 991-0555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-09612 North Carolina

Profile Details

NPI number 1043288210
LBN Legal business name Dalton, Douglas
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jan 25th, 2022 - about 4 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 1043288210 NPPES
Montana Other 4309330 MDCD PIN
Montana Other 000097653 MDCD PIN

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