Economan, Dale W
Economan, Dale W is an sole proprietor health care provider with primary practice located at 707 N River Dr , Marion IN 46952-2765. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Economan, Dale W can be contacted via phone (765) 573-5999.Contact Information
Primary practice address
707 N River Dr
Marion IN 46952-2765
Phone: (765) 573-5999
Fax: (765) 662-0312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02000601 | Indiana |
Profile Details
| NPI number | 1295705234 |
|---|---|
| LBN Legal business name | Economan, Dale W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Jul 24th, 2012 - about 12 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 | 1295705234 | NPPES |
| Indiana | MEDICAID | 100123380 |
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