Ross, Ethan M

Ross, Ethan M is an individual health care provider with primary practice located at 4100 State Highway 66 , Stevens Point WI 54482-8410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ross, Ethan M can be contacted via phone (715) 997-6000.

Contact Information

Primary practice address
4100 State Highway 66 Stevens Point WI 54482-8410
Phone: (715) 997-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C7-0004008 Delaware
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 49891 Colorado
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2695 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DO3369 Maine

Profile Details

NPI number 1811163199
LBN Legal business name Ross, Ethan M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2008
Last updated May 10th, 2023 - about last year

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 1811163199 NPPES
Colorado MEDICAID 37154389

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