Distler, Edward
Distler, Edward is an sole proprietor health care provider with primary practice located at 2409 N Patterson St Ste 310 , Valdosta GA 31602-2512. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Distler, Edward can be contacted via phone (229) 433-8160.Contact Information
Primary practice address
2409 N Patterson St Ste 310
Valdosta GA 31602-2512
Phone: (229) 433-8160
Fax: (229) 244-2707
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 007087 | Arizona |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 91531 | Georgia |
Profile Details
NPI number | 1891180352 |
---|---|
LBN Legal business name | Distler, Edward |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 1st, 2015 |
Last updated | Aug 23rd, 2022 - about 3 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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