Weshinskey, Ethan

Weshinskey, Ethan is an individual health care provider with primary practice located at 400 S Lewis Ln , Carbondale IL 62901-3547. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Weshinskey, Ethan can be contacted via phone (618) 519-9200.

Contact Information

Primary practice address
400 S Lewis Ln Carbondale IL 62901-3547
Phone: (618) 519-9200
Fax: (618) 519-9961
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.005624 Illinois

Profile Details

NPI number 1457722910
LBN Legal business name Weshinskey, Ethan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2015
Last updated Aug 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457722910 NPPES
Illinois MEDICAID 370966854002

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