Powell, David W

Powell, David W is an individual health care provider with primary practice located at 4640 W Lloyd Expy , Evansville IN 47712-6517. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Powell, David W can be contacted via phone (812) 422-4336.

Contact Information

Primary practice address
4640 W Lloyd Expy Evansville IN 47712-6517
Phone: (812) 422-4336
Fax: (812) 421-0994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07000467 Indiana

Profile Details

NPI number 1346243078
LBN Legal business name Powell, David W
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2005
Last updated Oct 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346243078 NPPES
Indiana Other 000000042550 ANTHEM PIN #
Indiana MEDICAID 200004080A ANTHEM PIN #

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