Poor, David Dewile
Poor, David Dewile is an individual health care provider with primary practice located at 2133 S State Road 46 , Terre Haute IN 47803-9781. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Poor, David Dewile can be contacted via phone (812) 232-0564.Contact Information
Primary practice address
2133 S State Road 46
Terre Haute IN 47803-9781
Phone: (812) 232-0564
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5684661-1205 | Utah |
Profile Details
| NPI number | 1275589699 |
|---|---|
| LBN Legal business name | Poor, David Dewile |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Jul 21st, 2023 - about last year |
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 | 1275589699 | NPPES |
| Utah | MEDICAID | 1982871828 |
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