Ettinger, David B.
Ettinger, David B. is an individual health care provider with primary practice located at 131 E Chestnut Hill Rd , Newark DE 19713-4043. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Ettinger, David B. can be contacted via phone (302) 369-1000.Contact Information
Primary practice address
131 E Chestnut Hill Rd
Newark DE 19713-4043
Phone: (302) 369-1000
Fax: (302) 369-6016
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | G1-0001099 | Delaware |
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | C1-0005329 | Delaware |
Profile Details
NPI number | 1982625547 |
---|---|
LBN Legal business name | Ettinger, David B. |
Credentials | M.D. D.M.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 21st, 2006 |
Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982625547 | NPPES |
Other | 510214XMD | BC/BS | |
MEDICAID | 1000033783 | BC/BS | |
MEDICAID | 0000939002 | BC/BS | |
Other | 268440 | BC/BS | |
Other | 2940 | BC/BS | |
Other | P10315 | BC/BS |
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