Aguilar Bravo, Ethan Adam
Aguilar Bravo, Ethan Adam is an individual health care provider with primary practice located at 1075 E Betteravia Rd Ste 201 , Santa Maria CA 93454-7023. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Aguilar Bravo, Ethan Adam can be contacted via phone (805) 621-7714.Contact Information
Primary practice address
1075 E Betteravia Rd Ste 201
Santa Maria CA 93454-7023
Phone: (805) 621-7714
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered | 227900000X | 42870 | California |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | California |
Profile Details
NPI number | 1881464519 |
---|---|
LBN Legal business name | Aguilar Bravo, Ethan Adam |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 4th, 2024 |
Last updated | Feb 6th, 2024 - about last year |
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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