Miesner, Dawn
Miesner, Dawn is an individual health care provider with primary practice located at 2512 Hurst Dr Ste 120, Mattoon IL 61938. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Miesner, Dawn can be contacted via phone (217) 258-5900.Contact Information
Primary practice address
2512 Hurst Dr Ste 120
Mattoon IL 61938
Phone: (217) 258-5900
Fax: (217) 258-5904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036091488 | Illinois |
Profile Details
| NPI number | 1255343026 |
|---|---|
| LBN Legal business name | Miesner, Dawn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Aug 6th, 2016 - about 9 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 | 1255343026 | NPPES |
| Illinois | MEDICAID | 036091488 |
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