Rhone, Ethan Wallace

Rhone, Ethan Wallace is an individual health care provider with primary practice located at 1619 Creighton Rd Ste 1 , Pensacola FL 32504-7152. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Rhone, Ethan Wallace can be contacted via phone (850) 444-4700.

Contact Information

Primary practice address
1619 Creighton Rd Ste 1 Pensacola FL 32504-7152
Phone: (850) 444-4700
Fax: (850) 434-8144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9100907 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9100907 Florida

Profile Details

NPI number 1821090093
LBN Legal business name Rhone, Ethan Wallace
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 21st, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821090093 NPPES
Florida MEDICAID 291142600
Florida Other PA9100907

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