Natelson, Ethan Allen
Natelson, Ethan Allen is an individual health care provider with primary practice located at 6550 Fannin St Suite 1001, Houston TX 77030-2717. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Natelson, Ethan Allen can be contacted via phone (713) 441-5154.Contact Information
Primary practice address
6550 Fannin St Suite 1001
Houston TX 77030-2717
Phone: (713) 441-5154
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | D9036 | Texas |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | D9036 | Texas |
Profile Details
| NPI number | 1417921032 |
|---|---|
| LBN Legal business name | Natelson, Ethan Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Mar 3rd, 2016 - about 10 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 | 1417921032 | NPPES |
| Texas | Other | P01265010 | RR MEDICARE |
| Texas | MEDICAID | 041934304 | RR MEDICARE |
| Texas | Other | DE4842 | RR MEDICARE |
| Texas | MEDICAID | 041934303 | RR MEDICARE |
| Texas | Other | 8V4457 | RR MEDICARE |
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