Dorwart, Michael Robert

Dorwart, Michael Robert is an individual health care provider with primary practice located at 550 University Blvd Rm 2180 , Indianapolis IN 46202-5149. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Dorwart, Michael Robert can be contacted via phone (317) 274-0269.

Contact Information

Primary practice address
550 University Blvd Rm 2180 Indianapolis IN 46202-5149
Phone: (317) 274-0269
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X 01064446A Indiana
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 01064446A Indiana
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01064446A Indiana

Profile Details

NPI number 1225243892
LBN Legal business name Dorwart, Michael Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Jun 27th, 2024 - about 6 months 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 1225243892 NPPES
Indiana Other M400046439 MEDICARE PTAN
Indiana Other 000000715005 MEDICARE PTAN
Indiana MEDICAID 201020000 MEDICARE PTAN
Indiana Other 01064446A MEDICARE PTAN

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