Ezzo, Nathan

Ezzo, Nathan is an individual health care provider with primary practice located at 839 Sw 126Th St , Burien WA 98146-2752. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Ezzo, Nathan can be contacted via phone (215) 692-3049.

Contact Information

Primary practice address
839 Sw 126Th St Burien WA 98146-2752
Phone: (215) 692-3049
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW124649
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW60951940 Washington

Profile Details

NPI number 1952646903
LBN Legal business name Ezzo, Nathan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2012
Last updated Sep 8th, 2022 - 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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