Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0401X | Internist - Addiction Medicine | 01060774A | IN |
NPI | 1033116371 |
---|---|
Provider Name | Dr. Elmer E Dunbar |
First Address | Charlestown, IN 47111-9535 |
Second Address | Jeffersonville, IN 47130-6016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2005 |
Last Update Date | 08/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000041740 | ANTHEM (01) | |
1048924 | PASSPORT (01) | KY |
64204340 | (05) | KY |
C73386 | (02) | KY |