Daetwyler, Edward P.

Daetwyler, Edward P. is an individual health care provider with primary practice located at 350 W Columbia St Suite 310, Evansville IN 47710-1782. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as his primary health care specialty. Daetwyler, Edward P. can be contacted via phone (812) 425-2646.

Contact Information

Primary practice address
350 W Columbia St Suite 310 Evansville IN 47710-1782
Phone: (812) 425-2646
Fax: (812) 467-7209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 01032497A Indiana

Profile Details

NPI number 1669445722
LBN Legal business name Daetwyler, Edward P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Dec 4th, 2012 - about 12 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 1669445722 NPPES
Indiana MEDICAID 100078630

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