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
Phone: (574) 825-8685
Fax: (574) 825-1256
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043210180 | NPPES |
Indiana | MEDICAID | 200123720 |
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