Ewald, Edward M
Ewald, Edward M is an individual health care provider with primary practice located at 13 Church Rd , East Granby CT 06026-0518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ewald, Edward M can be contacted via phone (860) 653-4526.Contact Information
Primary practice address
13 Church Rd
East Granby CT 06026-0518
Phone: (860) 653-4526
Fax: (860) 653-5209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 018024 | Connecticut |
Profile Details
| NPI number | 1497732564 |
|---|---|
| LBN Legal business name | Ewald, Edward M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Jul 8th, 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 | 1497732564 | NPPES |
| Connecticut | Other | 0204022002 | CIGNA |
| Connecticut | Other | 00118024900 | CIGNA |
| Connecticut | Other | 0104405 | CIGNA |
| Connecticut | Other | 010018024CT01 | CIGNA |
| Connecticut | Other | 781463 | CIGNA |
| Connecticut | Other | HAP209 | CIGNA |
| Connecticut | Other | 140066 | CIGNA |
| Connecticut | Other | 0P0373 | CIGNA |
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