Dalton, Randall Elliott

Dalton, Randall Elliott is an individual health care provider with primary practice located at 110 Hardin Lane Suite 10, Somerset KY 42503-3818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Dalton, Randall Elliott can be contacted via phone (606) 451-3890.

Contact Information

Primary practice address
110 Hardin Lane Suite 10 Somerset KY 42503-3818
Phone: (606) 451-3890
Fax: (606) 451-3896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 43128 Kentucky

Profile Details

NPI number 1336155944
LBN Legal business name Dalton, Randall Elliott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Mar 7th, 2023 - about last year

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 1336155944 NPPES
Ohio MEDICAID 2445705
Ohio Other 35083245

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