Welch, Ethan Leo

Welch, Ethan Leo is an sole proprietor health care provider with primary practice located at 656 Admiralty Way , Webster NY 14580-3904. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Other Service Providers / Research Study. Other Service Providers / Specialist is his primary health care specialty. Welch, Ethan Leo can be contacted via phone (585) 787-0055.

Contact Information

Primary practice address
656 Admiralty Way Webster NY 14580-3904
Phone: (585) 787-0055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 81770 New York
Other Service Providers / Research Study 1744R1102X 81770 New York

Profile Details

NPI number 1962709733
LBN Legal business name Welch, Ethan Leo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2011
Last updated Feb 14th, 2011 - about 15 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 1962709733 NPPES
New York Other 81770 NEW YORK STATE LICENSE

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