Ewing, Daniel Luke

Ewing, Daniel Luke is an individual health care provider with primary practice located at 800 N Beaton St , Corsicana TX 75110-3149. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ewing, Daniel Luke can be contacted via phone (903) 874-0005.

Contact Information

Primary practice address
800 N Beaton St Corsicana TX 75110-3149
Phone: (903) 874-0005
Fax: (903) 874-0009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 8761T Texas

Profile Details

NPI number 1578948212
LBN Legal business name Ewing, Daniel Luke
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2015
Last updated Apr 10th, 2023 - about 2 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 1578948212 NPPES
Texas MEDICAID 351627001

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