Dalton, Scott Ryan
Dalton, Scott Ryan is an sole proprietor health care provider with primary practice located at 2200 Bergquist Dr Suite 1, Lackland Afb TX 78236. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Dalton, Scott Ryan can be contacted via phone (415) 264-4136.Contact Information
Primary practice address
2200 Bergquist Dr Suite 1
Lackland Afb TX 78236
Phone: (415) 264-4136
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | M9238 | Texas |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | M9238 | Texas |
Profile Details
| NPI number | 1497725576 |
|---|---|
| LBN Legal business name | Dalton, Scott Ryan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Sep 17th, 2019 - about 6 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 | 1497725576 | NPPES |
| Texas | Other | 400786602 | CSHCN |
| Texas | Other | 1497725576 | CSHCN |
| Texas | MEDICAID | 400786601 | CSHCN |
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