Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Li Zackschewski

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811889058

Ethan Li Zackschewski is a Student in an Organized Health Care Education/Training Program in Terre Haute, Indiana. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

620 Chestnut St
Terre Haute, IN 47809-1910
Phone: (812) 237-3410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1811889058
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 21, 2025
Last updated in NPPESJuly 21, 2025
Certification dateJuly 20, 2025
Mailing address1637 Foxhaven Dr, Kokomo, IN 46902-5647

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