Hixson, Ethan

Hixson, Ethan is an individual health care provider with primary practice located at 250 E Superior St Prentice, 4-420, Chicago IL 60611-2914. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Hixson, Ethan can be contacted via phone (312) 472-0440.

Contact Information

Primary practice address
250 E Superior St Prentice, 4-420 Chicago IL 60611-2914
Phone: (312) 472-0440
Fax: (312) 472-4781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Illinois

Profile Details

NPI number 1194882548
LBN Legal business name Hixson, Ethan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Mar 6th, 2008 - about 18 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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