Ettinger, Lee David

Ettinger, Lee David is an individual health care provider with primary practice located at 904 S 4Th St , Montrose CO 81401-4226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Ettinger, Lee David can be contacted via phone (970) 252-2753.

Contact Information

Primary practice address
904 S 4Th St Montrose CO 81401-4226
Phone: (970) 252-2753
Fax: (970) 240-7330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME 0035386 Florida
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X DR.0062774 Colorado

Profile Details

NPI number 1235112129
LBN Legal business name Ettinger, Lee David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Dec 27th, 2022 - about 2 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 1235112129 NPPES
Florida Other 110007848 RAILROAD MEDICARE
Florida MEDICAID 067872400 RAILROAD MEDICARE

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