Adrian, Dwayne C

Adrian, Dwayne C is an individual health care provider with primary practice located at 2701 W North St , Muncie IN 47303-3415. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Adrian, Dwayne C can be contacted via phone (765) 281-6920.

Contact Information

Primary practice address
2701 W North St Muncie IN 47303-3415
Phone: (765) 281-6920
Fax: (765) 284-6151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01034541A Indiana

Profile Details

NPI number 1881664589
LBN Legal business name Adrian, Dwayne C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Mar 12th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881664589 NPPES
Indiana MEDICAID 100106750E
Indiana MEDICAID 100106750A

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