Dalton Buckman
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Mocksville, NC
NPI 1811569726 · NPPES record last updated Jul 12, 2021
Key facts
- NPI
- 1811569726
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 186 Linda LN
Mocksville, NC 27028-9400 - Phone
- (309) 371-8822
- NPI assigned
- Jul 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
186 Linda LN
Mocksville, NC 27028-9400
Mailing address
1 University Pkwy
High Point, NC 27268-0002
Other providers in Mocksville, NC
- Annie V. Brown
- Cheyenne Brown
- Leigh Michelle Bryant
- BT Heart and Vascular Center, PLLC
- Sara Buchanan
- Octavia Buggs
- Brianna Nicole Bumgarner
- Suzanne Lorraine Bussell
- Byers Enterprises, LLC
- Charles Brandon Byers
All providers in Mocksville, NC · Student in an Organized Health Care Education/Training Program in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.