Adler, Ethan

Adler, Ethan is an individual health care provider with primary practice located at 4121 Montgomery Blvd Ne , Albuquerque NM 87109. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Adler, Ethan can be contacted via phone (505) 883-8099.

Contact Information

Primary practice address
4121 Montgomery Blvd Ne Albuquerque NM 87109
Phone: (505) 883-8099
Fax: (505) 299-2649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNO02214 New Mexico

Profile Details

NPI number 1134560618
LBN Legal business name Adler, Ethan
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2013
Last updated Jul 3rd, 2018 - about 7 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 1134560618 NPPES
New Mexico MEDICAID 91924260

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