Egan, Weldon T

Egan, Weldon T is an individual health care provider with primary practice located at 2001 W 86Th St , Indianapolis IN 46260-1902. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Egan, Weldon T can be contacted via phone (317) 567-2180.

Contact Information

Primary practice address
2001 W 86Th St Indianapolis IN 46260-1902
Phone: (317) 567-2180
Fax: (317) 567-2191
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01034554 Indiana
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 01034554 Indiana

Profile Details

NPI number 1982686937
LBN Legal business name Egan, Weldon T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jun 9th, 2010 - about 14 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 1982686937 NPPES
Indiana MEDICAID 100129350

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