Dalsaso, Timothy John

Dalsaso, Timothy John is an individual health care provider with primary practice located at 2700 Dolbeer St St. Joseph Hospital, Eureka CA 95501-4736. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Dalsaso, Timothy John can be contacted via phone (707) 442-7814.

Contact Information

Primary practice address
2700 Dolbeer St St. Joseph Hospital Eureka CA 95501-4736
Phone: (707) 442-7814
Fax: (707) 445-3710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 224783 Massachusetts

Profile Details

NPI number 1497737639
LBN Legal business name Dalsaso, Timothy John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated May 6th, 2011 - about 13 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 1497737639 NPPES
Massachusetts Other J28834 BCBS MA
Massachusetts MEDICAID 2106582 BCBS MA
Massachusetts Other 478702 BCBS MA
Massachusetts Other A101314 BCBS MA

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