Provider Demographics
NPI:1760445084
Name:WARE, DAVID A (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:WARE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 MANOR HILL RD
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-6643
Mailing Address - Country:US
Mailing Address - Phone:419-420-7855
Mailing Address - Fax:419-420-7859
Practice Address - Street 1:1450 MANOR HILL RD
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-6643
Practice Address - Country:US
Practice Address - Phone:419-420-7855
Practice Address - Fax:419-420-7859
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35078426207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2210173Medicaid
OH2210173Medicaid
OHWA4030121Medicare ID - Type Unspecified