Ewald, Eric Brian

Ewald, Eric Brian is an individual health care provider with primary practice located at 21298 Olean Blvd , Port Charlotte FL 33952-6705. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Ewald, Eric Brian can be contacted via phone (941) 629-1181.

Contact Information

Primary practice address
21298 Olean Blvd Port Charlotte FL 33952-6705
Phone: (941) 629-1181
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 69110 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN9490042 Florida

Profile Details

NPI number 1780781443
LBN Legal business name Ewald, Eric Brian
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Jan 24th, 2021 - 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 1780781443 NPPES
West Virginia Other 3810008119 MEDICAID
West Virginia Other 8238851 MEDICAID

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