Atwell, Dwayne H

Atwell, Dwayne H is an individual health care provider with primary practice located at 251 South 37Th Street , Muskogee OK 74401-4919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Atwell, Dwayne H can be contacted via phone (918) 683-0121.

Contact Information

Primary practice address
251 South 37Th Street Muskogee OK 74401-4919
Fax: (918) 683-6650
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 16851 Oklahoma

Profile Details

NPI number 1144236696
LBN Legal business name Atwell, Dwayne H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Dec 2nd, 2016 - about 10 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 1144236696 NPPES
Oklahoma MEDICAID 100180620A

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