Dawalt, Phillip Robert

Dawalt, Phillip Robert is an individual health care provider with primary practice located at 1418 Jackson St , Anderson IN 46016-1619. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Dawalt, Phillip Robert can be contacted via phone (765) 506-7329.

Contact Information

Primary practice address
1418 Jackson St Anderson IN 46016-1619
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 25049 Indiana

Profile Details

NPI number 1487433835
LBN Legal business name Dawalt, Phillip Robert
Credentials CADAC II ADDICTIONS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2023
Last updated Sep 25th, 2023 - about 2 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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