Milton, Larry Ethan

Milton, Larry Ethan is an individual health care provider with primary practice located at 1002 Jefferson St. Suite 400, Laurel MS 39440. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Assistant, Podiatric, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Milton, Larry Ethan can be contacted via phone (601) 649-7802.

Contact Information

Primary practice address
1002 Jefferson St. Suite 400 Laurel MS 39440
Phone: (601) 649-7802
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Assistant, Podiatric 211D00000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 80249 Mississippi

Profile Details

NPI number 1699394098
LBN Legal business name Milton, Larry Ethan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2020
Last updated Jul 24th, 2023 - about 2 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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