Neufeld, Ethan Allen

Neufeld, Ethan Allen is an individual health care provider with primary practice located at 677 N Wilmot Rd , Tucson AZ 85711-2701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Neufeld, Ethan Allen can be contacted via phone (520) 795-2889.

Contact Information

Primary practice address
677 N Wilmot Rd Tucson AZ 85711-2701
Phone: (520) 795-2889
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 10179216-1205 Utah
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 57623 Arizona

Profile Details

NPI number 1487920815
LBN Legal business name Neufeld, Ethan Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2012
Last updated Jan 10th, 2024 - about 10 months 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 1487920815 NPPES
Arizona MEDICAID 513683

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