Dwyer, David A

Dwyer, David A is an individual health care provider with primary practice located at 601 W 2Nd St , Bloomington IN 47403-2317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dwyer, David A can be contacted via phone (812) 353-9515.

Contact Information

Primary practice address
601 W 2Nd St Bloomington IN 47403-2317
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01069190A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 36271 Kentucky

Profile Details

NPI number 1376553339
LBN Legal business name Dwyer, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Apr 13th, 2020 - about 4 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 1376553339 NPPES
Kentucky MEDICAID 64019482

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