Snider, Ethan
Snider, Ethan is an sole proprietor health care provider with primary practice located at 180 Maple Ave W , Vienna VA 22180-5727. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Snider, Ethan can be contacted via phone (571) 363-3539.Contact Information
Primary practice address
180 Maple Ave W
Vienna VA 22180-5727
Phone: (571) 363-3539
Fax: (571) 363-3540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110007078 | Virginia |
Profile Details
| NPI number | 1285189381 |
|---|---|
| LBN Legal business name | Snider, Ethan |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2016 |
| Last updated | May 12th, 2023 - about 2 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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