Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RODERICK BERTRAM EWING SR.
Active Sole ProprietorMR. RODERICK BERTRAM EWING SR. is a Van Provider healthcare provider located in EAST CHICAGO, Indiana. NPI 1235417056 is currently active in the NPPES registry. Verify at CMS.
Van Provider · EAST CHICAGO, IN
Registration Details
- NPI Number
- 1235417056
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2011 (15.04608768059 yrs)
- Last Updated
- Jul 27, 2011
- License
-
0410-21-5033 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3412 DEODAR STEAST CHICAGO, IN, 463122024Browse IN providers · Browse ZIP 46312
- Phone
- 2193817235
- Primary Specialty
-
Van Provider
344600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.