Detwiler Berger, Dawn M

Detwiler Berger, Dawn M is an individual health care provider with primary practice located at 54938 State Road 13 , Middlebury IN 46540-8608. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Detwiler Berger, Dawn M can be contacted via phone (574) 825-8685.

Contact Information

Primary practice address
54938 State Road 13 Middlebury IN 46540-8608
Fax: (574) 825-1256
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 01045293 Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01045293A Indiana

Profile Details

NPI number 1043210180
LBN Legal business name Detwiler Berger, Dawn M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Feb 2nd, 2010 - about 14 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 1043210180 NPPES
Indiana MEDICAID 200123720

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