Ilmar, Ethan John
Ilmar, Ethan John is an individual health care provider with primary practice located at 839 Chief Eddie Hoffman Hwy , Bethel AK 99559. He recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as his primary health care specialty. Ilmar, Ethan John can be contacted via phone (907) 543-2740.Contact Information
Primary practice address
839 Chief Eddie Hoffman Hwy
Bethel AK 99559
Phone: (907) 543-2740
Fax: (907) 543-6729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Day Training/Habilitation Specialist | 373H00000X |
Profile Details
| NPI number | 1982125753 |
|---|---|
| LBN Legal business name | Ilmar, Ethan John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2017 |
| Last updated | Jul 3rd, 2017 - about 7 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 | 1982125753 | NPPES |
| Alaska | MEDICAID | 1020986 |
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