Dalton, Timothy John
Dalton, Timothy John is an individual health care provider with primary practice located at 1995 Bethabara Rd , Winston-Salem NC 27106-3375. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dalton, Timothy John can be contacted via phone (336) 759-7596.Contact Information
Primary practice address
1995 Bethabara Rd
Winston-Salem NC 27106-3375
Phone: (336) 759-7596
Fax: (336) 759-3652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9500876 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 95-00876 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 95-00876 | North Carolina |
Profile Details
| NPI number | 1912900648 |
|---|---|
| LBN Legal business name | Dalton, Timothy John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Oct 28th, 2020 - about 4 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 | 1912900648 | NPPES |
| Other | 0402121 | UNITED HEALTHCARE | |
| MEDICAID | 8926793 | UNITED HEALTHCARE | |
| Other | 5592041 | UNITED HEALTHCARE | |
| Other | 287316 | UNITED HEALTHCARE | |
| Other | 58523 | UNITED HEALTHCARE | |
| Other | 10526 | UNITED HEALTHCARE | |
| Other | 2624358 | UNITED HEALTHCARE | |
| Other | 26793 | UNITED HEALTHCARE | |
| Other | 410250659 | UNITED HEALTHCARE | |
| Other | 110113235 | UNITED HEALTHCARE |
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