Foxman, Ethan B.
Foxman, Ethan B. is an individual health care provider with primary practice located at 85 Seymour St Suite 200, Hartford CT 06106-5501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Foxman, Ethan B. can be contacted via phone (860) 289-3375.Contact Information
Primary practice address
85 Seymour St Suite 200
Hartford CT 06106-5501
Phone: (860) 289-3375
Fax: (860) 560-2849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 213770 | Massachusetts |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 042224 | Connecticut |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 213770 | Massachusetts |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 42224 | Connecticut |
Profile Details
| NPI number | 1225014731 |
|---|---|
| LBN Legal business name | Foxman, Ethan B. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Jan 15th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225014731 | NPPES |
| Connecticut | Other | 010042224CT06 | ANTHEM BC/BS |
| Connecticut | Other | A2516306 | ANTHEM BC/BS |
| Connecticut | MEDICAID | 001422245 | ANTHEM BC/BS |
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