Hoerschgen, Ethan Thomas

Hoerschgen, Ethan Thomas is an individual health care provider with primary practice located at 1911 S National Ave Suite 301, Springfield MO 65804-2213. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Hoerschgen, Ethan Thomas can be contacted via phone (417) 886-5000.

Contact Information

Primary practice address
1911 S National Ave Suite 301 Springfield MO 65804-2213
Phone: (417) 886-5000
Fax: (417) 886-1100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2004014110 Missouri
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2007018015 Missouri

Profile Details

NPI number 1447332945
LBN Legal business name Hoerschgen, Ethan Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Feb 10th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447332945 NPPES
Missouri MEDICAID 1447332945

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