Gager, Ethan David
Gager, Ethan David is an individual health care provider with primary practice located at 2700 E Eldorado Pkwy , Little Elm TX 75068-5999. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Gager, Ethan David can be contacted via phone (972) 987-0458.Contact Information
Primary practice address
2700 E Eldorado Pkwy
Little Elm TX 75068-5999
Phone: (972) 987-0458
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | AP139837 | Texas |
Profile Details
| NPI number | 1528618121 |
|---|---|
| LBN Legal business name | Gager, Ethan David |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2019 |
| Last updated | Sep 16th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528618121 | NPPES |
| Texas | MEDICAID | 2143855920 |
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