Dewar, William Russell

Dewar, William Russell is an individual health care provider with primary practice located at 1839 Fair Ave , Honesdale PA 18431-2121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dewar, William Russell can be contacted via phone (570) 251-6500.

Contact Information

Primary practice address
1839 Fair Ave Honesdale PA 18431-2121
Phone: (570) 251-6500
Fax: (570) 253-8195
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD037244L Pennsylvania

Profile Details

NPI number 1346202744
LBN Legal business name Dewar, William Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Nov 11th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346202744 NPPES
Pennsylvania MEDICAID 00069663
Pennsylvania Other 17953
Pennsylvania Other 002316
Pennsylvania MEDICAID 01169846

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