Karsen, Ethan Forrest

Karsen, Ethan Forrest is an individual health care provider with primary practice located at 2650 Ridge Ave. Dept. Of Psychiatry, Evanston IL 60201. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Karsen, Ethan Forrest can be contacted via phone (847) 425-6400.

Contact Information

Primary practice address
2650 Ridge Ave. Dept. Of Psychiatry Evanston IL 60201
Phone: (847) 425-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 042.0012812 Vermont

Profile Details

NPI number 1326330267
LBN Legal business name Karsen, Ethan Forrest
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2011
Last updated Apr 23rd, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326330267 NPPES
Vermont MEDICAID 1022942

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