Ewald, Eric J

Ewald, Eric J is an individual health care provider with primary practice located at 950 Glades Rd Ste 4A , Boca Raton FL 33431-6401. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Ewald, Eric J can be contacted via phone (561) 391-8086.

Contact Information

Primary practice address
950 Glades Rd Ste 4A Boca Raton FL 33431-6401
Phone: (561) 391-8086
Fax: (954) 354-8151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME32060 Florida
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X ME32060 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME32060 Florida

Profile Details

NPI number 1700846805
LBN Legal business name Ewald, Eric J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Oct 18th, 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 1700846805 NPPES
Florida MEDICAID 043169900

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