Ethan Allyn Crawford
Ethan Allyn Crawford is a Student in an Organized Health Care Education/Training Program in Orono, Maine. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
15 Park StOrono, ME 04473-4409
Phone: (603) 686-1793
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1700605441 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 9, 2024 |
| Last updated in NPPES | October 9, 2024 |
| Certification date | October 9, 2024 |
| Mailing address | 15 Park St, Orono, ME 04473-4409 |
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