Gervais, Ethan

Gervais, Ethan is an individual health care provider with primary practice located at 279 Main St , South Portland ME 04106-2629. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Gervais, Ethan can be contacted via phone (207) 741-2260.

Contact Information

Primary practice address
279 Main St South Portland ME 04106-2629
Phone: (207) 741-2260
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PR70596 Maine

Profile Details

NPI number 1518637222
LBN Legal business name Gervais, Ethan
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2021
Last updated Sep 14th, 2021 - about 3 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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