Short, David George

Short, David George is an individual health care provider with primary practice located at 1025 Michigan Avenue Suite 215, Logansport IN 46947-1594. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Short, David George can be contacted via phone (574) 753-2222.

Contact Information

Primary practice address
1025 Michigan Avenue Suite 215 Logansport IN 46947-1594
Phone: (574) 753-2222
Fax: (574) 753-0522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 02001212A Indiana
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 02001212A Indiana
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 02001212A Indiana

Profile Details

NPI number 1134184153
LBN Legal business name Short, David George
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Dec 8th, 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 1134184153 NPPES
Indiana Other 265973 HARMONY
Indiana Other 000000090844 HARMONY
Indiana Other 000000596741 HARMONY
Indiana Other 5231880002 HARMONY
Indiana Other 1019948 HARMONY
Indiana Other 0004358987 HARMONY
Indiana MEDICAID 100071010 HARMONY
Indiana Other 356001853017 HARMONY

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