Individual provider · Type 1 NPI
Jeremy Scott Dalton
Driver · Duluth, MN
NPI number
1629612114
Active
Practice location
2910 W 3rd St Apt 2
Duluth, MN 55806-3327
Fax (218) 464-1186
Mailing address
1517 N 56th St
Superior, WI 54880-5826
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | D4354378224405 (MN) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
Other driver providers in Duluth
About NPI 1629612114
Jeremy Scott Dalton's National Provider Identifier is 1629612114, issued on Oct 29, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Duluth, MN. The record was last updated on Oct 29, 2019.