James, Ethan
James, Ethan is an sole proprietor health care provider with primary practice located at 515 Read St , Evansville IN 47710-1739. He recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as his primary health care specialty. James, Ethan can be contacted via phone (812) 424-9291.Contact Information
Primary practice address
515 Read St
Evansville IN 47710-1739
Phone: (812) 424-9291
Fax: (812) 421-2722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prevention Professional | 405300000X | 36002454A | Indiana |
Profile Details
| NPI number | 1134667900 |
|---|---|
| LBN Legal business name | James, Ethan |
| Credentials | MAT, ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2017 |
| Last updated | Feb 1st, 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 | 1134667900 | NPPES |
| Indiana | Other | 36002454A | STATE OF INDIANA |
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