Dalton, Michael

Dalton, Michael is an sole proprietor health care provider with primary practice located at 76 Emery Ln , West Gardiner ME 04345-3420. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Dalton, Michael can be contacted via phone (207) 504-0943.

Contact Information

Primary practice address
76 Emery Ln West Gardiner ME 04345-3420
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1285089987
LBN Legal business name Dalton, Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2016
Last updated May 1st, 2016 - about 9 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 1285089987 NPPES
Maine MEDICAID 94400533A

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