Ethan James MAT, ATC

  • NPI 1134667900
According to our database, the NPI number for Ethan James MAT, ATC is 1134667900 and activated since 7 years ago. Ethan James MAT, ATC is an individual provider who specializes in Prevention Professional, and the primary practice location is 515 Read St, Evansville, IN 47710. You can also contact Ethan James MAT, ATC via telephone number is (812) 424-9291. Provider NPI information was last updated on 02/01/2017.

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Overview of Ethan James MAT, ATC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 02/01/2017
  • Last updated: 02/01/2017

Primary Scrop of Practice

  • Taxonomy Code: 405300000X
  • Specialty: Prevention Professional
  • License Number: 36002454A
  • License State: IN

Provider Mailing Address

  • Address: 2900 Castle Cmns
    Unit C
    Newburgh, IN 47630
  • Phone: 937-206-3960
  • Fax:

Provider Practice Location

  • Address: 515 Read St
    Evansville, IN 47710
  • Phone: 812-424-9291
  • Fax: 812-421-2722

Scope of Practice

  • Taxonomy Code: 405300000X
  • Specialty: Prevention Professional
  • License Number: 36002454A
  • License State: IN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 36002454A
  • Identifier Type: Other
  • Identifier State: IN
  • Issuer: STATE OF INDIANA

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Ethan James MAT, ATC?
  • A: The npi number for Ethan James MAT, ATC is 1134667900.
  • Q: What are Ethan James MAT, ATC's specialties?
  • A: Ethan James MAT, ATC's specialties are Prevention Professional and different specialities.
  • Q: What is the medical license for Ethan James MAT, ATC?
  • A: The medical license number for Ethan James MAT, ATC is 36002454A and issued in IN in USA.
  • Q: Where is Ethan James MAT, ATC practice location?
  • A: Ethan James MAT, ATC is practicing at 515 Read St, Evansville, IN 47710.
  • Q: How to contact Ethan James MAT, ATC?
  • A: You can contact Ethan James MAT, ATC via 812-424-9291.
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