Etzel, David J

Etzel, David J is an individual health care provider with primary practice located at 31 E Main St , Shelby OH 44875-1262. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Etzel, David J can be contacted via phone (419) 525-6795.

Contact Information

Primary practice address
31 E Main St Shelby OH 44875-1262
Phone: (419) 525-6795
Fax: (419) 525-6723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 12090-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X 12090-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP12090 Ohio

Profile Details

NPI number 1881999555
LBN Legal business name Etzel, David J
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2011
Last updated May 26th, 2021 - about 4 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 1881999555 NPPES
Ohio Other 12090-NP STATE LICENSE
Ohio MEDICAID 3110449 STATE LICENSE

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