Dalton, Scott Ryan

Dalton, Scott Ryan is an sole proprietor health care provider with primary practice located at 2200 Bergquist Dr Suite 1, Lackland Afb TX 78236. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Dalton, Scott Ryan can be contacted via phone (415) 264-4136.

Contact Information

Primary practice address
2200 Bergquist Dr Suite 1 Lackland Afb TX 78236
Phone: (415) 264-4136
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X M9238 Texas
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X M9238 Texas

Profile Details

NPI number 1497725576
LBN Legal business name Dalton, Scott Ryan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2006
Last updated Sep 17th, 2019 - about 7 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 1497725576 NPPES
Texas Other 400786602 CSHCN
Texas Other 1497725576 CSHCN
Texas MEDICAID 400786601 CSHCN

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