Hoerschgen, Ethan Thomas
Hoerschgen, Ethan Thomas is an individual health care provider with primary practice located at 1911 S National Ave Suite 301, Springfield MO 65804-2213. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Hoerschgen, Ethan Thomas can be contacted via phone (417) 886-5000.Contact Information
Primary practice address
1911 S National Ave Suite 301
Springfield MO 65804-2213
Phone: (417) 886-5000
Fax: (417) 886-1100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2004014110 | Missouri |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 2007018015 | Missouri |
Profile Details
| NPI number | 1447332945 |
|---|---|
| LBN Legal business name | Hoerschgen, Ethan Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Feb 10th, 2011 - about 14 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 | 1447332945 | NPPES |
| Missouri | MEDICAID | 1447332945 |
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