Spearman, Dara D
Spearman, Dara D is an individual health care provider with primary practice located at 4020 New Vision Dr , Fort Wayne IN 46845-1737. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Spearman, Dara D can be contacted via phone (260) 423-2567.Contact Information
Primary practice address
4020 New Vision Dr
Fort Wayne IN 46845-1737
Phone: (260) 423-2567
Fax: (260) 420-2415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 01076018A | Indiana |
Profile Details
| NPI number | 1588783419 |
|---|---|
| LBN Legal business name | Spearman, Dara D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Oct 7th, 2022 - about 4 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 | 1588783419 | NPPES |
| Wisconsin | Other | 54947 | DEPARTMENT OF REGULATION AND LICENSING |
| Wisconsin | Other | DS084294 | DEPARTMENT OF REGULATION AND LICENSING |
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