Loeb, Ethan David

Loeb, Ethan David is an sole proprietor health care provider with primary practice located at 19 Sycamore Ln , Roslyn Heights NY 11577-2521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Loeb, Ethan David can be contacted via phone (504) 606-7612.

Contact Information

Primary practice address
19 Sycamore Ln Roslyn Heights NY 11577-2521
Phone: (504) 606-7612
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A63945 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 232033-1 New York

Profile Details

NPI number 1275727711
LBN Legal business name Loeb, Ethan David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2007
Last updated Aug 28th, 2007 - about 18 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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