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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396770335 NPPES
Other 110168017 RAILROAD MEDICARE
MEDICAID 100097760B RAILROAD MEDICARE
Other 000000085467 RAILROAD MEDICARE

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