Provider Demographics
NPI:1770304149
Name:TALBOTT, RONALD DALE
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:DALE
Last Name:TALBOTT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 146
Mailing Address - Street 2:
Mailing Address - City:PHILIPPI
Mailing Address - State:WV
Mailing Address - Zip Code:26416-0146
Mailing Address - Country:US
Mailing Address - Phone:304-457-4545
Mailing Address - Fax:
Practice Address - Street 1:47 CHURCH ST
Practice Address - Street 2:
Practice Address - City:PHILIPPI
Practice Address - State:WV
Practice Address - Zip Code:26416-1103
Practice Address - Country:US
Practice Address - Phone:304-457-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant