De Harter, David John
De Harter, David John is an sole proprietor health care provider with primary practice located at 4811 Sw Thistle Ter , Palm City FL 34990-3948. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. De Harter, David John can be contacted via phone (772) 971-5111.Contact Information
Primary practice address
4811 Sw Thistle Ter
Palm City FL 34990-3948
Phone: (772) 971-5111
Fax: (281) 337-2611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | ME0071228 | Florida |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | ME71228 | Florida |
Profile Details
| NPI number | 1699766196 |
|---|---|
| LBN Legal business name | De Harter, David John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | May 11th, 2017 - about 7 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 | 1699766196 | NPPES |
| Florida | Other | 32407 | BCBS |
| Florida | MEDICAID | 252150400 | BCBS |
| Florida | Other | 920004980 | BCBS |
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