Smith, Ethan
Smith, Ethan is an individual health care provider with primary practice located at 51310 Timber Bay Ct , Homer AK 99603-9812. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Smith, Ethan can be contacted via phone (907) 235-3250.Contact Information
Primary practice address
51310 Timber Bay Ct
Homer AK 99603-9812
Phone: (907) 235-3250
Fax: (907) 235-3251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1982339610 |
|---|---|
| LBN Legal business name | Smith, Ethan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2022 |
| Last updated | Jul 18th, 2022 - about 3 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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