Powers, David Joseph

Powers, David Joseph is an individual health care provider with primary practice located at 215 E 1St St Ste 315 , Dixon IL 61021-3190. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Powers, David Joseph can be contacted via phone (815) 288-1035.

Contact Information

Primary practice address
215 E 1St St Ste 315 Dixon IL 61021-3190
Phone: (815) 288-1035
Fax: (815) 284-0584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036082587 Illinois

Profile Details

NPI number 1003804006
LBN Legal business name Powers, David Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Aug 23rd, 2018 - about 6 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 1003804006 NPPES
Illinois Other 381220029 MEDICARE
Illinois MEDICAID 036082587 MEDICARE

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