Michael, Dwight Ira
Michael, Dwight Ira is an individual health care provider with primary practice located at 2140 Fisher Rd , Mechanicsburg PA 17055-5122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Michael, Dwight Ira can be contacted via phone (717) 766-1795.Contact Information
Primary practice address
2140 Fisher Rd
Mechanicsburg PA 17055-5122
Phone: (717) 766-1795
Fax: (717) 697-6575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD-029636E | Pennsylvania |
Profile Details
| NPI number | 1063412104 |
|---|---|
| LBN Legal business name | Michael, Dwight Ira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Jan 27th, 2021 - about 3 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 | 1063412104 | NPPES |
| Pennsylvania | MEDICAID | 1012418 02 |
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