Roberts, Ethan

Roberts, Ethan is an individual health care provider with primary practice located at 1916 Haughton Ave Apt 1 , North Mankato MN 56003-1440. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Roberts, Ethan can be contacted via phone (507) 995-7937.

Contact Information

Primary practice address
1916 Haughton Ave Apt 1 North Mankato MN 56003-1440
Phone: (507) 995-7937
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X D834044851615 Minnesota

Profile Details

NPI number 1447666037
LBN Legal business name Roberts, Ethan
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2014
Last updated Jul 3rd, 2014 - about 11 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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