Ewert, Lawrence Donald

Ewert, Lawrence Donald is an individual health care provider with primary practice located at 806 Jackson St , Columbus IN 47201-6264. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ewert, Lawrence Donald can be contacted via phone (812) 379-4033.

Contact Information

Primary practice address
806 Jackson St Columbus IN 47201-6264
Phone: (812) 379-4033
Fax: (812) 378-8367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20010172A Indiana

Profile Details

NPI number 1326010703
LBN Legal business name Ewert, Lawrence Donald
Credentials HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326010703 NPPES
Indiana Other 0000000209012 ANTHEM PIN

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