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Contact Information

DAVID A BETTENHAUSEN, DPM
912 N VINE STREET
FOSTORIA, OH44830
 Phone: 419-435-2107
 Fax: 419-435-3224
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DAVID A BETTENHAUSEN · (Male)

NPI # 1487670493
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/14/2006
Last updated 10/30/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 36002967
  • OH Medicaid 2057063
  • OH Other 000000172005 ANTHEM
  • OH Other 03050 PARAMOUNT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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