Individual
DR. DWAINE M EVERETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 E OHIO AVE, SEBRING, OH 44672-1410
(330) 938-0001
(330) 938-2666
Mailing address
115 E OHIO AVE, SEBRING, OH 44672-1410
(330) 938-0001
(330) 938-2666
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1977
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000140395
ANTHEM PIN
OH
05
—
0960670
—
OH
01
—
341853890001
MMO PIN
OH
Enumeration date
12/27/2005
Last updated
07/08/2007
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