Grant, Ethan

Grant, Ethan is an individual health care provider with primary practice located at 5193 W Broad St Ste 100 , Columbus OH 43228-1695. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Grant, Ethan can be contacted via phone (614) 897-0823.

Contact Information

Primary practice address
5193 W Broad St Ste 100 Columbus OH 43228-1695
Phone: (614) 897-0823
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT016847 Ohio

Profile Details

NPI number 1578118618
LBN Legal business name Grant, Ethan
Credentials PT, DPT, OCS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2019
Last updated Jun 17th, 2021 - 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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