Dalton, Ronald Philip

Dalton, Ronald Philip is an individual health care provider with primary practice located at 1300 W Ice Lake Rd , Iron River MI 49935-8507. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Dalton, Ronald Philip can be contacted via phone (906) 265-8189.

Contact Information

Primary practice address
1300 W Ice Lake Rd Iron River MI 49935-8507
Phone: (906) 265-8189
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301071649 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301071649 Michigan

Profile Details

NPI number 1407851413
LBN Legal business name Dalton, Ronald Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 19th, 2015 - 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 1407851413 NPPES
Michigan Other RD071649 BCBS OF MI
Michigan Other 34010000 BCBS OF MI
Michigan MEDICAID 3461280 BCBS OF MI
Michigan Other 700C61000 BCBS OF MI

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