Whitebird, Dalton Ty

Whitebird, Dalton Ty is an individual health care provider with primary practice located at 1400 E Downing St , Tahlequah OK 74464-3324. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Whitebird, Dalton Ty can be contacted via phone (918) 456-0641.

Contact Information

Primary practice address
1400 E Downing St Tahlequah OK 74464-3324
Phone: (918) 456-0641
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 3033 Oklahoma

Profile Details

NPI number 1962138933
LBN Legal business name Whitebird, Dalton Ty
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2022
Last updated Aug 1st, 2022 - about 3 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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