Green, Ethan

Green, Ethan is an sole proprietor health care provider with primary practice located at 338 Golf Club Rd , Roaring Brook Twp PA 18436-7000. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Green, Ethan can be contacted via phone (845) 270-1797.

Contact Information

Primary practice address
338 Golf Club Rd Roaring Brook Twp PA 18436-7000
Phone: (845) 270-1797
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW026436 Pennsylvania

Profile Details

NPI number 1982572939
LBN Legal business name Green, Ethan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2025
Last updated Oct 29th, 2025 - about last year

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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