Ewig, Jon Robert
Ewig, Jon Robert is an sole proprietor health care provider with primary practice located at 3585 Wendleton Ln , Beavercreek OH 45432-2753. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Ewig, Jon Robert can be contacted via phone (937) 426-8083.Contact Information
Primary practice address
3585 Wendleton Ln
Beavercreek OH 45432-2753
Phone: (937) 426-8083
Fax: (937) 426-2181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 19277 | Ohio |
Profile Details
| NPI number | 1720094246 |
|---|---|
| LBN Legal business name | Ewig, Jon Robert |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1720094246 | NPPES |
| Ohio | MEDICAID | 0854928 |
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