Mackay, Dalton J

Mackay, Dalton J is an individual health care provider with primary practice located at 651 Topeka Way Ste 600 , Castle Rock CO 80109-3116. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mackay, Dalton J can be contacted via phone (303) 728-9661.

Contact Information

Primary practice address
651 Topeka Way Ste 600 Castle Rock CO 80109-3116
Fax: (303) 728-9786
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25129 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 48378 Colorado

Profile Details

NPI number 1801079488
LBN Legal business name Mackay, Dalton J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2007
Last updated Feb 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801079488 NPPES
Colorado MEDICAID 91584078

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