Bettenhausen, David Allen

Bettenhausen, David Allen is an sole proprietor health care provider with primary practice located at 912 N Vine Street , Fostoria OH 44830. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bettenhausen, David Allen can be contacted via phone (419) 435-2107.

Contact Information

Primary practice address
912 N Vine Street Fostoria OH 44830
Phone: (419) 435-2107
Fax: (419) 435-3224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36002967 Ohio

Profile Details

NPI number 1487670493
LBN Legal business name Bettenhausen, David Allen
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Oct 30th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487670493 NPPES
Ohio MEDICAID 2057063
Ohio Other 000000172005
Ohio Other 03050

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