Southwick, David Andrew
Southwick, David Andrew is an sole proprietor health care provider with primary practice located at 5969 S Ernest St , Terre Haute IN 47802-8111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Southwick, David Andrew can be contacted via phone (812) 238-4499.Contact Information
Primary practice address
5969 S Ernest St
Terre Haute IN 47802-8111
Phone: (812) 238-4499
Fax: (812) 238-4493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 02001402 | Indiana |
Profile Details
| NPI number | 1619966462 |
|---|---|
| LBN Legal business name | Southwick, David Andrew |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Jun 13th, 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 | 1619966462 | NPPES |
| Indiana | MEDICAID | 100253000A |
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