Cole, Ethan Conall

Cole, Ethan Conall is an individual health care provider with primary practice located at Uss Frank Cable Unit 100105, Aguana GU 96567. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Other Service Providers / Independent Duty Corpsman. Other Service Providers / Independent Duty Corpsman is his primary health care specialty. Cole, Ethan Conall can be contacted via phone (717) 601-4053.

Contact Information

Primary practice address
Uss Frank Cable Unit 100105 Aguana GU 96567
Phone: (717) 601-4053
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1871211748
LBN Legal business name Cole, Ethan Conall
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2022
Last updated Jan 5th, 2023 - about 2 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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