Dalton, Heather Dawn
Dalton, Heather Dawn is an sole proprietor health care provider with primary practice located at 210 Oconnor Dr Ste 105 , Elkhorn WI 53121-4542. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Dalton, Heather Dawn can be contacted via phone (262) 723-2739.Contact Information
Primary practice address
210 Oconnor Dr Ste 105
Elkhorn WI 53121-4542
Phone: (262) 723-2739
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4048-012 | Wisconsin |
Profile Details
| NPI number | 1265475784 |
|---|---|
| LBN Legal business name | Dalton, Heather Dawn |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Aug 5th, 2013 - about 12 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 | 1265475784 | NPPES |
| Wisconsin | MEDICAID | 38956300 |
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