Dalton, Willard T
Dalton, Willard T is an individual health care provider with primary practice located at 8166 Main Street , Houma LA 70360. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Dalton, Willard T can be contacted via phone (985) 873-4141.Contact Information
Primary practice address
8166 Main Street
Houma LA 70360
Phone: (985) 873-4141
Fax: (985) 851-4307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | MD08126R | Louisiana |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD08126R | Louisiana |
Profile Details
| NPI number | 1124091475 |
|---|---|
| LBN Legal business name | Dalton, Willard T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Jun 7th, 2010 - about 14 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 | 1124091475 | NPPES |
| Louisiana | MEDICAID | 1389650 |
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