Ewing, Roger Joe

Ewing, Roger Joe is an individual health care provider with primary practice located at 540 E Jefferson St Suite 102, Iowa City IA 52245-2477. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Ewing, Roger Joe can be contacted via phone (319) 337-5997.

Contact Information

Primary practice address
540 E Jefferson St Suite 102 Iowa City IA 52245-2477
Phone: (319) 337-5997
Fax: (319) 358-2665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 25693 Iowa

Profile Details

NPI number 1801823612
LBN Legal business name Ewing, Roger Joe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Dec 20th, 2012 - about 14 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 1801823612 NPPES
Other 26078 BLUE CROSS BLUE SHIELD
MEDICAID 2298299 BLUE CROSS BLUE SHIELD

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