Drake, Ethan
Drake, Ethan is an individual health care provider with primary practice located at 759 Stouffer Ave , Chambersburg PA 17201-2859. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Drake, Ethan can be contacted via phone (717) 658-4326.Contact Information
Primary practice address
759 Stouffer Ave
Chambersburg PA 17201-2859
Phone: (717) 658-4326
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DS037559 | Pennsylvania |
Profile Details
NPI number | 1205068368 |
---|---|
LBN Legal business name | Drake, Ethan |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 21st, 2009 |
Last updated | Nov 15th, 2012 - about 13 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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