Egan, Weldon T
Egan, Weldon T is an individual health care provider with primary practice located at 2001 W 86Th St , Indianapolis IN 46260-1902. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Egan, Weldon T can be contacted via phone (317) 567-2180.Contact Information
Primary practice address
2001 W 86Th St
Indianapolis IN 46260-1902
Phone: (317) 567-2180
Fax: (317) 567-2191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01034554 | Indiana |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 01034554 | Indiana |
Profile Details
| NPI number | 1982686937 |
|---|---|
| LBN Legal business name | Egan, Weldon T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Jun 9th, 2010 - about 16 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 | 1982686937 | NPPES |
| Indiana | MEDICAID | 100129350 |
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