Etienne, Sean Edward
Etienne, Sean Edward is an sole proprietor health care provider with primary practice located at 3920 N Union Blvd Ste 200 , Colorado Springs CO 80907-4921. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Ambulatory Care. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Etienne, Sean Edward can be contacted via phone (719) 524-7616.Contact Information
Primary practice address
3920 N Union Blvd Ste 200
Colorado Springs CO 80907-4921
Phone: (719) 524-7616
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | 12402-040 | Wisconsin |
Pharmacy Service Providers / Pharmacist | 183500000X | 116685 | Minnesota |
Pharmacy Service Providers / Ambulatory Care | 1835P2201X | PHA0019012 | Colorado |
Profile Details
NPI number | 1437339611 |
---|---|
LBN Legal business name | Etienne, Sean Edward |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 6th, 2007 |
Last updated | Feb 26th, 2016 - about 8 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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