Wilks, David C

Wilks, David C is an individual health care provider with primary practice located at 1400 S Lake Park Ave Suite 105, Hobart IN 46342-6790. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wilks, David C can be contacted via phone (219) 942-5599.

Contact Information

Primary practice address
1400 S Lake Park Ave Suite 105 Hobart IN 46342-6790
Fax: (219) 942-5544
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 01031776A Indiana

Profile Details

NPI number 1205836335
LBN Legal business name Wilks, David C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Nov 29th, 2012 - about 13 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 1205836335 NPPES
Indiana MEDICAID 100406800
Indiana Other 256700C

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