Ross, Ethan

Ross, Ethan is an sole proprietor health care provider with primary practice located at 966 S Fern Ave , Elmhurst IL 60126-5307. 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. Ross, Ethan can be contacted via phone (630) 805-1854.

Contact Information

Primary practice address
966 S Fern Ave Elmhurst IL 60126-5307
Phone: (630) 805-1854
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096.003466 Illinois

Profile Details

NPI number 1649640996
LBN Legal business name Ross, Ethan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2015
Last updated Sep 30th, 2015 - 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.

Request for update

Popular Providers