Emmons, Ethan Errol
Emmons, Ethan Errol is an sole proprietor health care provider with primary practice located at 744 S Webster Ave , Green Bay WI 54301-3505. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Emmons, Ethan Errol can be contacted via phone (920) 433-7451.Contact Information
Primary practice address
744 S Webster Ave
Green Bay WI 54301-3505
Phone: (920) 433-7451
Fax: (920) 433-7453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M7165 | Texas |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | M7165 | Texas |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 4154-320 | Wisconsin |
Profile Details
| NPI number | 1265416325 |
|---|---|
| LBN Legal business name | Emmons, Ethan Errol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Mar 20th, 2024 - about 2 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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