Seth Bouwer
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Dyer, IN
NPI 1285441964 · NPPES record last updated Jan 9, 2025
Key facts
- NPI
- 1285441964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1040 Killarney Dr
Dyer, IN 46311-1293 - Phone
- (219) 628-6623
- NPI assigned
- Dec 16, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1040 Killarney Dr
Dyer, IN 46311-1293
Mailing address
1040 Killarney Dr
Dyer, IN 46311-1293
Phone (219) 628-6623
Other providers in Dyer, IN
- James A Borgetti
- Alyssa Marie Borkowski
- Valerie Boromisa
- Jessica Bosques
- Melissa Dawn Bourland
- Lauren Deann Bouwman
- Virginia E Bratcher
- David Bruce Braunstein
- Elizabet Braviere
- Briggs Ophthalmology & Associates, S.C.
All providers in Dyer, IN · Student in an Organized Health Care Education/Training Program in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.