Tewel, Kenneth M

Tewel, Kenneth M is an individual health care provider with primary practice located at 2901 S Mcintyre Dr , Bloomington IN 47403-4209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Tewel, Kenneth M can be contacted via phone (812) 332-3062.

Contact Information

Primary practice address
2901 S Mcintyre Dr Bloomington IN 47403-4209
Fax: (812) 332-3062
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01022362 Indiana

Profile Details

NPI number 1407835598
LBN Legal business name Tewel, Kenneth M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jul 1st, 2014 - about 7 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 1407835598 NPPES
Indiana MEDICAID 100373260

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