Ko, Ethan S
Ko, Ethan S is an individual health care provider with primary practice located at 609 Jefferson Davis Hwy 201, Fredericksburg VA 22401-4436. 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. Ko, Ethan S can be contacted via phone (540) 899-3107.Contact Information
Primary practice address
609 Jefferson Davis Hwy 201
Fredericksburg VA 22401-4436
Phone: (540) 899-3107
Fax: (540) 899-3183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 54475 | Minnesota |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 010220875 | Virginia |
Profile Details
| NPI number | 1992955058 |
|---|---|
| LBN Legal business name | Ko, Ethan S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2008 |
| Last updated | Sep 13th, 2018 - about 8 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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