Ethan Reiss
Ethan Reiss is a Student in an Organized Health Care Education/Training Program in Forest, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
528 W Moore Tower RdForest, MS 39074-8867
Phone: (662) 882-2910
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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 number | 1275368151 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 3, 2024 |
| Last updated in NPPES | September 3, 2024 |
| Certification date | September 3, 2024 |
| Mailing address | 528 W Moore Tower Rd, Forest, MS 39074-8867 |
Other providers in Forest
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John Coleman, MD
505 Airport Rd Ste B, Forest, MS 39074-4030 · (601) 469-4771