ROCKVILLE TOWN SQUARE CLINIC – NPI #1770706400
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

ROCKVILLE TOWN SQUARE CLINIC is a provider located in ROCKVILLE, IN. NPPES has assigned the NPI number 1770706400 to ROCKVILLE TOWN SQUARE CLINIC on April 11, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ROCKVILLE TOWN SQUARE CLINIC” is a dba name, the actual legal business name for this organization is THOMAS D NICHOLAS MD DANIEL J DWYER MD. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 18 years ago on Jul 24, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROCKVILLE TOWN SQUARE CLINIC below.

NPI Profile for
THOMAS D NICHOLAS MD DANIEL J DWYER MD

NPI Number
1770706400
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THOMAS D NICHOLAS MD DANIEL J DWYER MD
Doing Business As (dba): ROCKVILLE TOWN SQUARE CLINIC
Primary location
111 W HIGH ST
ROCKVILLE, IN 47872
Phone: (765) 569-2057 Fax: (765) 569-2340
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DANIEL DWYER
PARTNER
Phone: (765) 569-2057
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
15D0362127

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.