Streeter, Dennis Lynn

Streeter, Dennis Lynn is an individual health care provider with primary practice located at 300 W 80Th Pl Suite A, Merrillville IN 46410-5456. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Streeter, Dennis Lynn can be contacted via phone (219) 791-9782.

Contact Information

Primary practice address
300 W 80Th Pl Suite A Merrillville IN 46410-5456
Phone: (219) 791-9782
Fax: (219) 791-9787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 020000320B Indiana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 020000320B Indiana

Profile Details

NPI number 1912994773
LBN Legal business name Streeter, Dennis Lynn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Apr 1st, 2014 - about 11 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 1912994773 NPPES
Illinois Other 90000235 ILLINOIS BC/BS
Illinois MEDICAID 100166240 ILLINOIS BC/BS
Illinois Other 000000084728 ILLINOIS BC/BS

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