Spore, Ethan

Spore, Ethan is an individual health care provider with primary practice located at 619 N Broadway St , Pittsburg KS 66762-3904. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Spore, Ethan can be contacted via phone (620) 238-8195.

Contact Information

Primary practice address
619 N Broadway St Pittsburg KS 66762-3904
Phone: (620) 238-8195
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 000000 Kansas

Profile Details

NPI number 1245913748
LBN Legal business name Spore, Ethan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2023
Last updated Aug 10th, 2023 - 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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