Douse, Dandrae

Douse, Dandrae is an individual health care provider with primary practice located at 401 N Sawyer Rd , Kendallville IN 46755-2568. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Douse, Dandrae can be contacted via phone (260) 347-8610.

Contact Information

Primary practice address
401 N Sawyer Rd Kendallville IN 46755-2568
Phone: (260) 347-8610
Fax: (260) 347-8617
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01028388A Indiana
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 01028388 Indiana

Profile Details

NPI number 1609876531
LBN Legal business name Douse, Dandrae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Oct 11th, 2022 - about 3 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 1609876531 NPPES
Indiana Other 1235 PHP
Indiana MEDICAID 100322930A PHP
Indiana Other 000000082078 PHP

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