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
Phone: (205) 996-5111
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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