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
Fax: (614) 722-4458
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679569412 NPPES
Kentucky MEDICAID 64789118
Kentucky Other PO0568572
Kentucky MEDICAID 010543000
Kentucky MEDICAID 0398341

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