Manos, Ethan Richard

Manos, Ethan Richard is an sole proprietor health care provider with primary practice located at 115 Cass Ave , Woonsocket RI 02895-4705. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Manos, Ethan Richard can be contacted via phone (401) 769-4100.

Contact Information

Primary practice address
115 Cass Ave Woonsocket RI 02895-4705
Phone: (401) 769-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1366078206
LBN Legal business name Manos, Ethan Richard
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2020
Last updated Mar 22nd, 2020 - about 5 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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