Dawson, Robert Keith

Dawson, Robert Keith is an individual health care provider with primary practice located at 925 S Nebraska St , Marion IN 46953-1874. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Dawson, Robert Keith can be contacted via phone (765) 664-7492.

Contact Information

Primary practice address
925 S Nebraska St Marion IN 46953-1874
Fax: (765) 664-4356
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001868A Indiana

Profile Details

NPI number 1588727895
LBN Legal business name Dawson, Robert Keith
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Feb 15th, 2024 - about 9 months 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 1588727895 NPPES
Indiana MEDICAID 200526080

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