Ether Bunny Inc

LBN: Ether Bunny Inc
Ether Bunny Inc is an health care organization with primary practice located at 1613 N Mckenzie St , Foley AL 36535-2247. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty. Ether Bunny Inc can be contacted via phone (251) 965-5393, or through Desverreaux, Debra Lee via phone (251) 965-5393.

Contact Information

Primary practice address
1613 N Mckenzie St Foley AL 36535-2247
Phone: (251) 965-5393
Fax: (251) 971-1029
Website:
Map and Directions
Authorized official contact:
Name: Desverreaux, Debra Lee
Phone: (251) 965-5393

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X

Profile Details

NPI number 1306843305
LBN Legal business name Ether Bunny Inc
DBA Doing business as
Authorized official Desverreaux, Debra Lee
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2005
Last updated Apr 7th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306843305 NPPES
Alabama MEDICAID 529907430

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