Drew, George R

Drew, George R is an individual health care provider with primary practice located at 5215 Holy Cross Pkwy Emergency Department, Mishawaka IN 46545-1469. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Drew, George R can be contacted via phone (574) 335-5000.

Contact Information

Primary practice address
5215 Holy Cross Pkwy Emergency Department Mishawaka IN 46545-1469
Phone: (574) 335-5000
Fax: (574) 273-1137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101009164 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02003439 Indiana

Profile Details

NPI number 1639223605
LBN Legal business name Drew, George R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Dec 16th, 2011 - about 15 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 1639223605 NPPES
Indiana MEDICAID 200922330
Indiana Other 000000593395
Indiana Other P00671030
Indiana Other 930005546

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