Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
1155 E MAIN ST
LANCASTER, OH 43130-4056 US
PECOS Enrolled

Ethan Edward Ekstrand

Student


Ethan Edward Ekstrand

Overview

Ethan Edward Ekstrand is a Student in the LANCASTER area. Ethan Edward Ekstrand primary office location is at 1155 E MAIN ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1164161824 and the information was updated approximately 2 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
1155 E MAIN ST
LANCASTER, OH 43130-4056 US
Phone: (740)-689-6758
Fax:
Practice Mailing Information
1155 E MAIN ST
LANCASTER, OH 43130-4056 US
Phone: (740)-689-6758
Fax: (740)-689-6759

No Licenses found


No Identifiers found

TaxonomyStatePrimary?
Student - Taxonomy Code 390200000X --Y

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes