Tice, Dalton
Tice, Dalton is an individual health care provider with primary practice located at 4901 Green Tree Rd , Reading PA 19606-3340. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Emergency Medical Service Providers / Emergency Medical Technician, Basic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Tice, Dalton can be contacted via phone (610) 914-6463.Contact Information
Primary practice address
4901 Green Tree Rd
Reading PA 19606-3340
Phone: (610) 914-6463
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | RT005694 | Pennsylvania |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 0598 | New Hampshire |
| Emergency Medical Service Providers / Emergency Medical Technician, Basic | 146N00000X | 186907 | Pennsylvania |
Profile Details
| NPI number | 1013315761 |
|---|---|
| LBN Legal business name | Tice, Dalton |
| Credentials | ATC, EMT, CFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2014 |
| Last updated | Dec 11th, 2014 - about 12 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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