Dean, David W

Dean, David W is an individual health care provider with primary practice located at 210 W Walnut St , Canton IL 61520-2497. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dean, David W can be contacted via phone (309) 647-5240.

Contact Information

Primary practice address
210 W Walnut St Canton IL 61520-2497
Fax: (309) 649-5128
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-128312 Illinois

Profile Details

NPI number 1477717247
LBN Legal business name Dean, David W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2008
Last updated Feb 16th, 2021 - about 4 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 1477717247 NPPES
Illinois MEDICAID 0361283121
Illinois Other P00960789
Illinois Other P00984806
Illinois MEDICAID 0361283122

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