Summerlin, Don-John
Summerlin, Don-John is an individual health care provider with primary practice located at 9292 N Meridian St 210, Indianapolis IN 46260-1857. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Summerlin, Don-John can be contacted via phone (317) 843-2204.Contact Information
Primary practice address
9292 N Meridian St 210
Indianapolis IN 46260-1857
Phone: (317) 843-2204
Fax: (317) 843-2478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 12009088A | Indiana |
Profile Details
| NPI number | 1114975018 |
|---|---|
| LBN Legal business name | Summerlin, Don-John |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1114975018 | NPPES |
| Indiana | MEDICAID | 20030530A |
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