Palmer, David R
Palmer, David R is an individual health care provider with primary practice located at 1819 Carew St Attention: Polly Baloski, Fort Wayne IN 46805-4705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Palmer, David R can be contacted via phone (260) 481-4810.Contact Information
Primary practice address
1819 Carew St Attention: Polly Baloski
Fort Wayne IN 46805-4705
Phone: (260) 481-4810
Fax: (260) 481-4883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01043018A | Indiana |
Profile Details
| NPI number | 1255303210 |
|---|---|
| LBN Legal business name | Palmer, David R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Oct 17th, 2022 - 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 | 1255303210 | NPPES |
| Indiana | MEDICAID | 200907600 | |
| Indiana | MEDICAID | 2912665 | |
| Indiana | Other | P00825407 | |
| Indiana | Other | 000000641094 |
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