Ewanowski, Christopher David
Ewanowski, Christopher David is an sole proprietor health care provider with primary practice located at 4651 Van Dyke Rd , Lutz FL 33558-4880. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is his primary health care specialty. Ewanowski, Christopher David can be contacted via phone (813) 321-1786.Contact Information
Primary practice address
4651 Van Dyke Rd
Lutz FL 33558-4880
Phone: (813) 321-1786
Fax: (813) 321-1787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ME100378 | Florida |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | ME100378 | Florida |
Profile Details
| NPI number | 1780880476 |
|---|---|
| LBN Legal business name | Ewanowski, Christopher David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2007 |
| Last updated | Jan 15th, 2019 - about 5 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 | 1780880476 | NPPES |
| Florida | MEDICAID | 001792300 |
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