Whitney, Dallon

Whitney, Dallon is an individual health care provider with primary practice located at 379 N 500 W Suite 1A, Vernal UT 84078-1956. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Whitney, Dallon can be contacted via phone (435) 789-1165.

Contact Information

Primary practice address
379 N 500 W Suite 1A Vernal UT 84078-1956
Fax: (435) 789-1169
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 49749541206 Utah

Profile Details

NPI number 1891914941
LBN Legal business name Whitney, Dallon
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Jul 8th, 2007 - about 19 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 1891914941 NPPES
Utah Other 49749541206 LICENSE NUMBER

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