Dungan, Ethan Tyler

Dungan, Ethan Tyler is an individual health care provider with primary practice located at 1802 6Th Ave S , Birmingham AL 35233-1932. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Dungan, Ethan Tyler can be contacted via phone (205) 996-5111.

Contact Information

Primary practice address
1802 6Th Ave S Birmingham AL 35233-1932
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 1-149801 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 1-149801 Alabama

Profile Details

NPI number 1255994588
LBN Legal business name Dungan, Ethan Tyler
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2019
Last updated Jun 29th, 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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