Powell, Dwight Alden
Powell, Dwight Alden is an individual health care provider with primary practice located at 555 S 18Th St , Columbus OH 43205-2654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as his primary health care specialty. Powell, Dwight Alden can be contacted via phone (614) 722-4494.Contact Information
Primary practice address
555 S 18Th St
Columbus OH 43205-2654
Phone: (614) 722-4494
Fax: (614) 722-4458
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 35043250 | Ohio |
Profile Details
NPI number | 1679569412 |
---|---|
LBN Legal business name | Powell, Dwight Alden |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 27th, 2005 |
Last updated | Apr 14th, 2009 - about 16 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 | 1679569412 | NPPES |
Kentucky | MEDICAID | 64789118 | |
Kentucky | Other | PO0568572 | |
Kentucky | MEDICAID | 010543000 | |
Kentucky | MEDICAID | 0398341 |
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