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
Phone: (434) 974-9600
Fax: (434) 296-1036
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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