Ethan Birdwell
Ethan Birdwell is a Case Manager/Care Coordinator in Shawnee, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2022.
- Licensed in
- OK
- In the registry since
- 2022
Practice location Address checks out
1202 Monroe DrShawnee, OK 74804-4139
Phone: (405) 517-3806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X (OK) |
|---|
Record details
| NPI number | 1457077190 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 14, 2022 |
| Last updated in NPPES | October 14, 2022 |
| Certification date | October 14, 2022 |
| Mailing address | 1202 Monroe Dr, Shawnee, OK 74804-4139 |
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Brooke Anson
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