Ettinger, David L

Ettinger, David L is an individual health care provider with primary practice located at 992 Union St , Bangor ME 04401-3057. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ettinger, David L can be contacted via phone (207) 992-2601.

Contact Information

Primary practice address
992 Union St Bangor ME 04401-3057
Phone: (207) 992-2601
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD12394 Maine
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 12394 Maine

Profile Details

NPI number 1871532424
LBN Legal business name Ettinger, David L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Sep 7th, 2023 - about last year

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 1871532424 NPPES
Maine MEDICAID 231030000

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