Palmer, David T

Palmer, David T is an sole proprietor health care provider with primary practice located at 2200 Randallia Dr , Fort Wayne IN 46805-4638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Palmer, David T can be contacted via phone (260) 672-6620.

Contact Information

Primary practice address
2200 Randallia Dr Fort Wayne IN 46805-4638
Phone: (260) 672-6620
Fax: (260) 672-6639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 1548 Maine

Profile Details

NPI number 1851483135
LBN Legal business name Palmer, David T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Dec 22nd, 2015 - about 11 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 1851483135 NPPES
Maine MEDICAID 214330099
Maine MEDICAID 201315260

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