Mr. David J Etzel
Nurse Practitioner Nurse Practitioner - Family Medicine Nurse Practitioner - Community Health
31 E Main St
Shelby
, Ohio 44875-1262
Mr. David J Etzel
Nurse Practitioner Nurse Practitioner - Family Medicine Nurse Practitioner - Community Health
31 E Main St
Shelby
, Ohio 44875-1262
(419) 526-7939
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Community Health
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mr. David J Etzel
- 600 W. Third Street
- Mansfield, OH
- Zip : 44906-2633
- Fax : (419) 526-7939
- Phone : (419) 522-6191
Second Address
- Mr. David J Etzel
- 31 E Main St
- Shelby, OH
- Zip : 44875-1262
- Fax : (419) 525-6723
- Phone : (419) 525-6795
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FAQs
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Is Mr. David J Etzel a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 12090-NP | OH |
| N | 363LC1500X | Nurse Practitioner - Community Health | 12090-NP | OH |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | NP12090 | OH |
National Provider Identifier
| NPI | 1881999555 |
|---|---|
| Provider Name | Mr. David J Etzel |
| First Address | Mansfield, OH 44906-2633 |
| Second Address | Shelby, OH 44875-1262 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/01/2011 |
| Last Update Date | 26/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 12090-NP | STATE LICENSE (01) | OH |
| 3110449 | (05) | OH |
| H071180 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.