Dvorak, Brian John
Dvorak, Brian John is an individual health care provider with primary practice located at 116 E 11Th St Suite 101, Spencer IA 51301-4364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dvorak, Brian John can be contacted via phone (712) 264-3500.Contact Information
Primary practice address
116 E 11Th St Suite 101
Spencer IA 51301-4364
Phone: (712) 264-3500
Fax: (712) 264-3535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 24941 | Iowa |
Profile Details
| NPI number | 1942280193 |
|---|---|
| LBN Legal business name | Dvorak, Brian John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1942280193 | NPPES |
| Iowa | MEDICAID | 3027185 |
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