Ewald, Derek Alan
Ewald, Derek Alan is an sole proprietor health care provider with primary practice located at 1960 S 11Th St , Niles MI 49120-4059. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Ewald, Derek Alan can be contacted via phone (268) 683-6800.Contact Information
Primary practice address
1960 S 11Th St
Niles MI 49120-4059
Phone: (268) 683-6800
Fax: (269) 683-6888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | Indiana |
Profile Details
| NPI number | 1538177696 |
|---|---|
| LBN Legal business name | Ewald, Derek Alan |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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