Dalbow, Milton Randall
Dalbow, Milton Randall is an individual health care provider with primary practice located at 1800 Preserve Ave W #1826, Port Royal SC 29935-2514. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dalbow, Milton Randall can be contacted via phone (724) 553-6282.Contact Information
Primary practice address
1800 Preserve Ave W #1826
Port Royal SC 29935-2514
Phone: (724) 553-6282
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD041841L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 34452 | South Carolina |
Profile Details
| NPI number | 1972561314 |
|---|---|
| LBN Legal business name | Dalbow, Milton Randall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Feb 6th, 2019 - about 6 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 | 1972561314 | NPPES |
| Pennsylvania | MEDICAID | 0012111900001 | |
| Pennsylvania | Other | 110059269 | |
| Pennsylvania | MEDICAID | 344522 |
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