Dawdy, Thomas Daniel

Dawdy, Thomas Daniel is an individual health care provider with primary practice located at 6 Spring Hill Dr , Greenville IL 62246-1200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Dawdy, Thomas Daniel can be contacted via phone (618) 664-1772.

Contact Information

Primary practice address
6 Spring Hill Dr Greenville IL 62246-1200
Phone: (618) 664-1772
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-052642 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036052642 Illinois

Profile Details

NPI number 1467588640
LBN Legal business name Dawdy, Thomas Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2007
Last updated Mar 1st, 2011 - about 13 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 1467588640 NPPES
Missouri MEDICAID 1467588640
Missouri MEDICAID 036052642 1

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