Ewalt, Fred Carter

Ewalt, Fred Carter is an individual health care provider with primary practice located at 2080 Child St , Jacksonville FL 32214-5005. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Ewalt, Fred Carter can be contacted via phone (904) 542-7765.

Contact Information

Primary practice address
2080 Child St Jacksonville FL 32214-5005
Phone: (904) 542-7765
Fax: (904) 542-7835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1462446 Florida

Profile Details

NPI number 1487629267
LBN Legal business name Ewalt, Fred Carter
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Nov 10th, 2009 - about 16 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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