Dunevant, Donald Squires

Dunevant, Donald Squires is an individual health care provider with primary practice located at 3630 Willowcreek Rd , Portage IN 46368-5075. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dunevant, Donald Squires can be contacted via phone (219) 759-5791.

Contact Information

Primary practice address
3630 Willowcreek Rd Portage IN 46368-5075
Phone: (219) 759-5791
Fax: (219) 759-3807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01033863 Indiana

Profile Details

NPI number 1821059148
LBN Legal business name Dunevant, Donald Squires
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated May 16th, 2019 - about 7 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 1821059148 NPPES
Indiana Other 080106826 RAILROAD
Indiana Other 5251392 RAILROAD
Indiana Other 000000522003 RAILROAD
Indiana MEDICAID 100188440A RAILROAD

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