Ewanyk, John Theodore
Ewanyk, John Theodore is an individual health care provider with primary practice located at 705 Ewald Ave Se , Salem OR 97302-3403. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ewanyk, John Theodore can be contacted via phone (503) 370-0068.Contact Information
Primary practice address
705 Ewald Ave Se
Salem OR 97302-3403
Phone: (503) 370-0068
Fax: (503) 378-0069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 272950 | Oregon |
Profile Details
| NPI number | 1508824954 |
|---|---|
| LBN Legal business name | Ewanyk, John Theodore |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Mar 2nd, 2010 - about 14 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 | 1508824954 | NPPES |
| Oregon | MEDICAID | 079277 |
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