Dalton, Thomas M

Dalton, Thomas M is an individual health care provider with primary practice located at 2131 S 17Th St , Wilmington NC 28401-7407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Dalton, Thomas M can be contacted via phone (910) 442-1100.

Contact Information

Primary practice address
2131 S 17Th St Wilmington NC 28401-7407
Fax: (910) 442-1199
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 9700047 North Carolina

Profile Details

NPI number 1033114590
LBN Legal business name Dalton, Thomas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jun 3rd, 2011 - about 13 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 1033114590 NPPES
North Carolina Other 2237235E MEDICARE PTAN
North Carolina Other P00852712 MEDICARE PTAN
North Carolina Other 2237235G MEDICARE PTAN
North Carolina MEDICAID 8910736 MEDICARE PTAN

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