Dalton, Stephen Lewis

Dalton, Stephen Lewis is an individual health care provider with primary practice located at 400 Professional Center Dr Suite 414, Novato CA 94947-4367. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Dalton, Stephen Lewis can be contacted via phone (415) 892-0754.

Contact Information

Primary practice address
400 Professional Center Dr Suite 414 Novato CA 94947-4367
Phone: (415) 892-0754
Fax: (415) 897-3204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A62214 California

Profile Details

NPI number 1053318824
LBN Legal business name Dalton, Stephen Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Oct 9th, 2008 - about 18 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 1053318824 NPPES
California Other P00429886 RAILROAD MEDICARE

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