MEDICARE: WILLIAM R POWERS M.D. INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720257819
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM R POWERS M.D. INC.

Provider Business Mailing Address
First Line	:	195 E BROAD ST
Second Line	:	P.O. BOX 236
City	:	LYONS
State	:	IN
Zip	:	47443-9502
Country	:	US
Telephone Number	:	812-659-3395
Fax Number	:	812-659-3432

Provider Business Practice Location Address
First Line	:	195 E BROAD ST
Second Line	:
City	:	LYONS
State	:	IN
Zip	:	47443-9502
Country	:	US
Telephone Number	:	812-659-3395
Fax Number	:	812-659-3432

Authorized Official
Title or Position	:	MEDICAL DOCTOR
Name	:	DR. WILLIAM R POWERS
Credential	:	M.D.
Telephone Number	:	812-659-3395

Provider Enumeration Date	:	02/22/2008
Last Update Date	:	02/22/2008

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