Powderly, John Dwyer
Powderly, John Dwyer is an sole proprietor health care provider with primary practice located at 9801 Kincey Ave Suite 145, Huntersville NC 28078-3110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Powderly, John Dwyer can be contacted via phone (704) 947-6599.Contact Information
Primary practice address
9801 Kincey Ave Suite 145
Huntersville NC 28078-3110
Phone: (704) 947-6599
Fax: (704) 947-6597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 200000939 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 200000939 | North Carolina |
Profile Details
| NPI number | 1265453047 |
|---|---|
| LBN Legal business name | Powderly, John Dwyer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jul 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265453047 | NPPES |
| North Carolina | Other | E2701 | MEDCOST |
| North Carolina | Other | 12618 | MEDCOST |
| North Carolina | MEDICAID | 8912618 | MEDCOST |
| North Carolina | Other | 4859724 | MEDCOST |
| North Carolina | Other | 7413187 | MEDCOST |
| North Carolina | Other | 203016908 | MEDCOST |
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