Dean, John W

Dean, John W is an individual health care provider with primary practice located at 441 N Wabash Ave , Marion IN 46952-2612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Dean, John W can be contacted via phone (765) 662-1441.

Contact Information

Primary practice address
441 N Wabash Ave Marion IN 46952-2612
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 1047076A Indiana

Profile Details

NPI number 1720008394
LBN Legal business name Dean, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 19th, 2007 - about 18 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 1720008394 NPPES
Indiana Other 000000082188 BC BS
Indiana MEDICAID 200217700 BC BS

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