Cantrell, Ethan

Cantrell, Ethan is an sole proprietor health care provider with primary practice located at 1120 Ridge Oak Rd , Sapulpa OK 74066-8446. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Cantrell, Ethan can be contacted via phone (918) 606-6042.

Contact Information

Primary practice address
1120 Ridge Oak Rd Sapulpa OK 74066-8446
Phone: (918) 606-6042
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2645 Oklahoma

Profile Details

NPI number 1891142295
LBN Legal business name Cantrell, Ethan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2016
Last updated May 16th, 2016 - about 10 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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