Type not stated
Screen this subjectTravis J Dwyer
Debarred entityUnited States. Named in 1 sanctions listing.
Summary
License number: DE: E1-000198;CSR-#PO- 0007542
Sanctions and listings1
- Effective
- 24 Oct 2018
Official designation
Delaware Secretary of StateUS Delaware Medicaid Sanctioned ProvidersUnited States
Medicare-Crossover-Active License- Suspended; Stayed Suspension 09/01/2021; Probation 10/12/2021; Remedial Education 10/12/2021 -Suspension lifted and license placed on probation for five years contingent upon re-enrollment in DPHMP 09/19/2024
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1083811541 |
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