Dalton, John Wilfred
Dalton, John Wilfred is an individual health care provider with primary practice located at 1157 Hancock Street , Quincy MA 02169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Dalton, John Wilfred can be contacted via phone (617) 786-0141.Contact Information
Primary practice address
1157 Hancock Street
Quincy MA 02169
Phone: (617) 786-0141
Fax: (617) 479-9827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 41484 | Massachusetts |
Profile Details
| NPI number | 1821174046 |
|---|---|
| LBN Legal business name | Dalton, John Wilfred |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1821174046 | NPPES |
| Massachusetts | Other | C27096 | BCBS INDIV PROV |
| Massachusetts | Other | 6216 | BCBS INDIV PROV |
| Massachusetts | MEDICAID | 0152757 | BCBS INDIV PROV |
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