Ewing, John R

Ewing, John R is an individual health care provider with primary practice located at 202 S Park St , Madison WI 53715-1507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Ewing, John R can be contacted via phone (608) 417-8144.

Contact Information

Primary practice address
202 S Park St Madison WI 53715-1507
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 47760-20 Wisconsin

Profile Details

NPI number 1053378331
LBN Legal business name Ewing, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Dec 6th, 2018 - about 7 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 1053378331 NPPES
Wisconsin Other 2014182 PHYSICIANS PLUS
Wisconsin Other 60427 PHYSICIANS PLUS
Wisconsin MEDICAID 34628600 PHYSICIANS PLUS

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