Routt, Ethan Thacher
Routt, Ethan Thacher is an individual health care provider with primary practice located at 2226 Liliha St Ste 302 , Honolulu HI 96817-1605. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Routt, Ethan Thacher can be contacted via phone (808) 585-8008.Contact Information
Primary practice address
2226 Liliha St Ste 302
Honolulu HI 96817-1605
Phone: (808) 585-8008
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD-20864 | Hawaii |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | MD-20864 | Hawaii |
Profile Details
| NPI number | 1194112391 |
|---|---|
| LBN Legal business name | Routt, Ethan Thacher |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2015 |
| Last updated | Oct 2nd, 2020 - about 6 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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