Bannar, Ethan Scott

Bannar, Ethan Scott is an individual health care provider with primary practice located at 271 Ft Richardson Ave , Goodfellow Afb TX 76908. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bannar, Ethan Scott can be contacted via phone (325) 654-3122.

Contact Information

Primary practice address
271 Ft Richardson Ave Goodfellow Afb TX 76908
Phone: (325) 654-3122
Fax: (325) 654-5161
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810007978 Virginia

Profile Details

NPI number 1467962928
LBN Legal business name Bannar, Ethan Scott
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2017
Last updated Jul 13th, 2023 - 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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