Dalton, Mark Joseph
Dalton, Mark Joseph is an individual health care provider with primary practice located at 740 W Hamilton St Ste 100 , Allentown PA 18101-2425. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dalton, Mark Joseph can be contacted via phone (610) 434-1000.Contact Information
Primary practice address
740 W Hamilton St Ste 100
Allentown PA 18101-2425
Phone: (610) 434-1000
Fax: (610) 434-9592
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG-00358 | Pennsylvania |
Profile Details
| NPI number | 1568568640 |
|---|---|
| LBN Legal business name | Dalton, Mark Joseph |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Aug 24th, 2021 - about 4 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 | 1568568640 | NPPES |
| Pennsylvania | MEDICAID | 1692897/01 | |
| Pennsylvania | Other | DA359592 | |
| Pennsylvania | Other | 39480 |
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