Mares, David C
Mares, David C is an individual health care provider with primary practice located at 2101 Jackson St #110, Anderson IN 46016. 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 / Pulmonary Disease is his primary health care specialty. Mares, David C can be contacted via phone (765) 643-6012.Contact Information
Primary practice address
2101 Jackson St #110
Anderson IN 46016
Phone: (765) 643-6012
Fax: (765) 646-9054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01041834 | Indiana |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 01041834 | Indiana |
Profile Details
| NPI number | 1396770335 |
|---|---|
| LBN Legal business name | Mares, David C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Apr 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396770335 | NPPES |
| Other | 110168017 | RAILROAD MEDICARE | |
| MEDICAID | 100097760B | RAILROAD MEDICARE | |
| Other | 000000085467 | RAILROAD MEDICARE |
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