Emmons, Ethan Errol

Emmons, Ethan Errol is an sole proprietor health care provider with primary practice located at 744 S Webster Ave , Green Bay WI 54301-3505. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Emmons, Ethan Errol can be contacted via phone (920) 433-7451.

Contact Information

Primary practice address
744 S Webster Ave Green Bay WI 54301-3505
Fax: (920) 433-7453
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M7165 Texas
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X M7165 Texas
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 4154-320 Wisconsin

Profile Details

NPI number 1265416325
LBN Legal business name Emmons, Ethan Errol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2005
Last updated Mar 20th, 2024 - about 9 months 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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