Dalessio, Patrick M.

Dalessio, Patrick M. is an individual health care provider with primary practice located at 516 East Nizhoni Blvd. , Gallup NM 87301-1337. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Dalessio, Patrick M. can be contacted via phone (505) 722-1000.

Contact Information

Primary practice address
516 East Nizhoni Blvd. Gallup NM 87301-1337
Phone: (505) 722-1000
Fax: (505) 726-8671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004407 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10004407 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10004407 Washington

Profile Details

NPI number 1699782102
LBN Legal business name Dalessio, Patrick M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 18th, 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 1699782102 NPPES
Washington Other 06173U REGENCE BLUE SHIELD PIN
Washington Other 0197285 REGENCE BLUE SHIELD PIN
Washington MEDICAID 8354375 REGENCE BLUE SHIELD PIN

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