Dalitz, Douglas M

Dalitz, Douglas M is an sole proprietor health care provider with primary practice located at 23 Upper Ragsdale Dr Ste 100 , Monterey CA 93940-7849. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Dalitz, Douglas M can be contacted via phone (831) 375-3577.

Contact Information

Primary practice address
23 Upper Ragsdale Dr Ste 100 Monterey CA 93940-7849
Phone: (831) 375-3577
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 10 California
Nursing Service Providers / Registered Nurse 163W00000X 303557 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 059417 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X TCRNA800146 Nevada

Profile Details

NPI number 1366468589
LBN Legal business name Dalitz, Douglas M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Jul 24th, 2023 - about last year

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 1366468589 NPPES
Missouri MEDICAID 915920714

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