Roberts, Ethan

Roberts, Ethan is an sole proprietor health care provider with primary practice located at 722 Norvell St , El Cerrito CA 94530-3246. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Roberts, Ethan can be contacted via phone (510) 647-9836.

Contact Information

Primary practice address
722 Norvell St El Cerrito CA 94530-3246
Phone: (510) 647-9836
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1497193585
LBN Legal business name Roberts, Ethan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2013
Last updated Feb 11th, 2022 - about 4 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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