Provider Demographics
NPI:1396732566
Name:DURBIN, WILLIAM E (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:DURBIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:BILL
Other - Middle Name:
Other - Last Name:DURBIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:502 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:IA
Mailing Address - Zip Code:50665-2063
Mailing Address - Country:US
Mailing Address - Phone:319-346-2331
Mailing Address - Fax:319-346-1531
Practice Address - Street 1:502 3RD ST
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:IA
Practice Address - Zip Code:50665-2063
Practice Address - Country:US
Practice Address - Phone:319-346-2331
Practice Address - Fax:319-346-1531
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA26681207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1396732566Medicaid
IAP00335582OtherRR MEDICARE
IA4062752Medicaid
IA4062752Medicaid
IAI17470Medicare PIN
E42643Medicare UPIN