Dr. Susan Ann Dwyer
Health Service
203w Wayne St 317
Fort Wayne
, Indiana 46802-3610
Dr. Susan Ann Dwyer
Health Service
203w Wayne St 317
Fort Wayne
, Indiana 46802-3610
(260) 413-0040
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About
Features
Specialties
- Health Service
Languages spoken
- English
Location
First Address
- Dr. Susan Ann Dwyer
- 1702 Glen Elm Dr
- Fort Wayne, IN
- Zip : 46845-9672
- Phone : (260) 413-0040
Second Address
- Dr. Susan Ann Dwyer
- 203w Wayne St 317
- Fort Wayne, IN
- Zip : 46802-3610
- Fax : (260) 344-2820
- Phone : (260) 413-0040
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TH0100X | Health Service | 20041233 | IN |
National Provider Identifier
| NPI | 1508865650 |
|---|---|
| Provider Name | Dr. Susan Ann Dwyer |
| First Address | Fort Wayne, IN 46845-9672 |
| Second Address | Fort Wayne, IN 46802-3610 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2005 |
| Last Update Date | 09/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200142310 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.