Richard, Ethan Christian

Richard, Ethan Christian is an individual health care provider with primary practice located at 885 Gold Hill Rd Ste 506 , Fort Mill SC 29708-7946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Richard, Ethan Christian can be contacted via phone (804) 869-0341.

Contact Information

Primary practice address
885 Gold Hill Rd Ste 506 Fort Mill SC 29708-7946
Phone: (804) 869-0341
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 82176 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2006025644 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2019-01089 North Carolina

Profile Details

NPI number 1962439109
LBN Legal business name Richard, Ethan Christian
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Aug 26th, 2024 - about 2 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 1962439109 NPPES
Missouri Other 2006025644 LICENSE
Missouri Other MA1297008 LICENSE

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