O'Dell, Dwight William
O'Dell, Dwight William is an sole proprietor health care provider with primary practice located at 4550 Memorial Dr Ste 200, Belleville IL 62226-5359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. O'Dell, Dwight William can be contacted via phone (618) 233-5998.Contact Information
Primary practice address
4550 Memorial Dr Ste 200
Belleville IL 62226-5359
Phone: (618) 233-5998
Fax: (618) 233-6001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | Illinois |
Profile Details
| NPI number | 1194770933 |
|---|---|
| LBN Legal business name | O'Dell, Dwight William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2006 |
| Last updated | Sep 18th, 2007 - about 19 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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