White, Ethan

White, Ethan is an individual health care provider with primary practice located at 1508 Old Ringgold Rd , Chattanooga TN 37404-5444. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacy Technician, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. White, Ethan can be contacted via phone (423) 266-6751.

Contact Information

Primary practice address
1508 Old Ringgold Rd Chattanooga TN 37404-5444
Phone: (423) 266-6751
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1801492459
LBN Legal business name White, Ethan
Credentials CPHT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2020
Last updated Dec 9th, 2020 - about 4 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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