Dalton, Katie Beth

Dalton, Katie Beth is an individual health care provider with primary practice located at 7723 E 91St St , Tulsa OK 74133-6053. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dalton, Katie Beth can be contacted via phone (918) 895-7808.

Contact Information

Primary practice address
7723 E 91St St Tulsa OK 74133-6053
Fax: (918) 895-7807
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4061 Oklahoma

Profile Details

NPI number 1376516757
LBN Legal business name Dalton, Katie Beth
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Nov 17th, 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 1376516757 NPPES
Oklahoma MEDICAID 200020710C

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