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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902855596 NPPES
Florida MEDICAID 011682100

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