Didur, David R
Didur, David R is an sole proprietor health care provider with primary practice located at 400 Austin Ave Nw , Massillon OH 44646-3598. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Didur, David R can be contacted via phone (216) 837-7200.Contact Information
Primary practice address
400 Austin Ave Nw
Massillon OH 44646-3598
Phone: (216) 837-7200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 34005849 | Ohio |
Profile Details
| NPI number | 1033156104 |
|---|---|
| LBN Legal business name | Didur, David R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2006 |
| Last updated | Feb 25th, 2011 - 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 | 1033156104 | NPPES |
| Ohio | Other | 942460636418 | CARESOURCE |
| Ohio | MEDICAID | 0951493 | CARESOURCE |
| Ohio | Other | P00319997 | CARESOURCE |
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