Dupre, Gary William

Dupre, Gary William is an individual health care provider with primary practice located at 2600 Ferry St , Lafayette IN 47904-3055. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Dupre, Gary William can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Ferry St Lafayette IN 47904-3055
Phone: (765) 448-8000
Fax: (765) 838-4698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01033752A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01033752A Indiana

Profile Details

NPI number 1568431096
LBN Legal business name Dupre, Gary William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jan 25th, 2021 - about 5 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 1568431096 NPPES
Indiana Other 000000192362 ANTHEM PROVIDER NUMBER
Indiana Other 11484453 ANTHEM PROVIDER NUMBER
Indiana Other 9397021 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 100206900 ANTHEM PROVIDER NUMBER
Indiana MEDICAID DU64948011 ANTHEM PROVIDER NUMBER

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