Bell, Ethan

Bell, Ethan is an sole proprietor health care provider with primary practice located at 310 E Broadway Ave , Jackson WY 83001-8636. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Bell, Ethan can be contacted via phone (307) 257-5487.

Contact Information

Primary practice address
310 E Broadway Ave Jackson WY 83001-8636
Phone: (307) 257-5487
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-142304 Wyoming

Profile Details

NPI number 1457951469
LBN Legal business name Bell, Ethan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2020
Last updated Oct 28th, 2020 - about 5 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1457951469 NPPES
Wyoming Other RBT-20-142304 BACB

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