Tesar, David William

Tesar, David William is an individual health care provider with primary practice located at 583 S Clarizz Blvd , Bloomington IN 47401-5515. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Tesar, David William can be contacted via phone (812) 676-4460.

Contact Information

Primary practice address
583 S Clarizz Blvd Bloomington IN 47401-5515
Phone: (812) 676-4460
Fax: (812) 355-4092
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35066615 Ohio
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01064317A Indiana

Profile Details

NPI number 1205913746
LBN Legal business name Tesar, David William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jun 28th, 2023 - about 3 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 1205913746 NPPES
Indiana Other 090540871 MEDICARE PTAN

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