Damer, Brent M
Damer, Brent M is an individual health care provider with primary practice located at 3600 W Bethel Ave , Muncie IN 47304-5407. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Damer, Brent M can be contacted via phone (765) 284-7738.Contact Information
Primary practice address
3600 W Bethel Ave
Muncie IN 47304-5407
Phone: (765) 284-7738
Fax: (765) 213-3713
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 02003145A | Indiana |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 234645 | Massachusetts |
Profile Details
NPI number | 1407028392 |
---|---|
LBN Legal business name | Damer, Brent M |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 31st, 2008 |
Last updated | Nov 13th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407028392 | NPPES |
Indiana | MEDICAID | 200936870 | |
Indiana | Other | 000000610867 |
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