Mika, Katherine Dalton

Mika, Katherine Dalton is an individual health care provider with primary practice located at 1522 Insurance Ln Suite A, Charlottesville VA 22911-7229. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mika, Katherine Dalton can be contacted via phone (434) 974-9600.

Contact Information

Primary practice address
1522 Insurance Ln Suite A Charlottesville VA 22911-7229
Fax: (434) 296-1036
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101040389 Virginia

Profile Details

NPI number 1326024373
LBN Legal business name Mika, Katherine Dalton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Sep 29th, 2012 - about 14 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 1326024373 NPPES
Virginia MEDICAID 006725783
Virginia Other 010718
Virginia Other 333852
Virginia Other 20028
Virginia Other 267171
Virginia Other 12062400003

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