Provider Demographics
NPI:1447225800
Name:WEBB, DENNIS JOHN (PT)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:JOHN
Last Name:WEBB
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8357 BELL OAKS DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-2586
Mailing Address - Country:US
Mailing Address - Phone:812-853-9798
Mailing Address - Fax:812-853-8850
Practice Address - Street 1:8357 BELL OAKS DR
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-2586
Practice Address - Country:US
Practice Address - Phone:812-853-9798
Practice Address - Fax:812-853-8850
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05001393A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100254320AMedicaid
IN882070Medicare ID - Type Unspecified