Webb, Ethan Alan
Webb, Ethan Alan is an individual health care provider with primary practice located at 250 Harrison St , Titusville FL 32780-5026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Webb, Ethan Alan can be contacted via phone (321) 267-1424.Contact Information
Primary practice address
250 Harrison St
Titusville FL 32780-5026
Phone: (321) 267-1424
Fax: (321) 267-2713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME119885 | Florida |
Profile Details
| NPI number | 1902855596 |
|---|---|
| LBN Legal business name | Webb, Ethan Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Apr 20th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902855596 | NPPES |
| Florida | MEDICAID | 011682100 |
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