Provider Demographics
NPI:1861142283
Name:DALTON, ALEXANDRA CATHERINE (DC)
Entity type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:CATHERINE
Last Name:DALTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11349 NATIONAL PIKE
Mailing Address - Street 2:
Mailing Address - City:GIANTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21536
Mailing Address - Country:US
Mailing Address - Phone:301-334-3220
Mailing Address - Fax:301-334-3225
Practice Address - Street 1:11349 NATIONAL PIKE
Practice Address - Street 2:
Practice Address - City:GIANTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21536
Practice Address - Country:US
Practice Address - Phone:301-895-5100
Practice Address - Fax:301-895-5468
Is Sole Proprietor?:No
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD504116111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor