Detwiler, Lawrence A

Detwiler, Lawrence A is an individual health care provider with primary practice located at 7575 Northcliff Ave Suite 102, Brooklyn OH 44144-3267. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Detwiler, Lawrence A can be contacted via phone (216) 398-8196.

Contact Information

Primary practice address
7575 Northcliff Ave Suite 102 Brooklyn OH 44144-3267
Phone: (216) 398-8196
Fax: (216) 398-8192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-04-2991 Ohio

Profile Details

NPI number 1750373650
LBN Legal business name Detwiler, Lawrence A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated May 30th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750373650 NPPES
Ohio Other 000000030812 ANTHEM BCBS
Ohio Other 393375 ANTHEM BCBS
Ohio Other P42991 ANTHEM BCBS
Ohio Other 341847368031 ANTHEM BCBS
Ohio Other 110146704 ANTHEM BCBS
Ohio Other 000000030812 ANTHEM BCBS
Ohio Other 4009105 ANTHEM BCBS
Ohio MEDICAID 0517088 ANTHEM BCBS
Ohio Other 57106 ANTHEM BCBS
Ohio Other 105347 ANTHEM BCBS

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