Ettinger, David J

Ettinger, David J is an individual health care provider with primary practice located at 3359 Kemp Rd Ste. 200, Beavercreek OH 45431-2565. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Ettinger, David J can be contacted via phone (937) 429-7307.

Contact Information

Primary practice address
3359 Kemp Rd Ste. 200 Beavercreek OH 45431-2565
Phone: (937) 429-7307
Fax: (937) 429-7320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 35064602 Ohio

Profile Details

NPI number 1619976453
LBN Legal business name Ettinger, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Apr 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619976453 NPPES
Ohio MEDICAID 0918243
Ohio Other 240004305
Ohio Other 000000011941

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