Emery, David

Emery, David is an individual health care provider with primary practice located at 2200 Randallia Dr , Fort Wayne IN 46805-4638. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Emery, David can be contacted via phone (260) 373-6315.

Contact Information

Primary practice address
2200 Randallia Dr Fort Wayne IN 46805-4638
Phone: (260) 373-6315
Fax: (260) 373-6348
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 01033196 Indiana
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 01033196 Indiana

Profile Details

NPI number 1649292400
LBN Legal business name Emery, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Mar 20th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649292400 NPPES
Indiana Other 5255071 AETNA
Indiana Other 000000525271 AETNA
Indiana Other P00465466 AETNA
Indiana MEDICAID 100143900 AETNA
Indiana Other 3002075 AETNA

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