Reznicek, Ethan

Reznicek, Ethan is an individual health care provider with primary practice located at 100 Mercy Way Ste 1400 , Joplin MO 64804-4524. 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 / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Reznicek, Ethan can be contacted via phone (417) 556-2300.

Contact Information

Primary practice address
100 Mercy Way Ste 1400 Joplin MO 64804-4524
Phone: (417) 556-2300
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 / Emergency Medicine 207P00000X 2021037224 Missouri

Profile Details

NPI number 1174059661
LBN Legal business name Reznicek, Ethan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2017
Last updated Sep 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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