Bond, Ethan Wiley
Bond, Ethan Wiley is an sole proprietor health care provider with primary practice located at 39 Hunters Green Cv , Jackson TN 38305-9657. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Bond, Ethan Wiley can be contacted via phone (870) 302-2860.Contact Information
Primary practice address
39 Hunters Green Cv
Jackson TN 38305-9657
Phone: (870) 302-2860
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1063087013 |
|---|---|
| LBN Legal business name | Bond, Ethan Wiley |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2021 |
| Last updated | May 21st, 2021 - about 4 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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