Ethan Dionne, PA-C
Physician Assistant, Surgical in Lawrence, Massachusetts
1588013908- Practice location
- 354 Merrimack St Ste 1, Lawrence, MA 01843-1755
- Phone
- 978-687-2321
- Fax
- 978-722-7239
- Last updated
- November 29, 2016
Ethan Dionne is a Physician Assistant, Surgical based in Lawrence, MA. Ethan Dionne practices in Lawrence, MA and has the professional credentials of PA-C. The NPI Number for Ethan Dionne is 1588013908 and holds a License No. PA5740 (MA). The current practice location address for Ethan Dionne is 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 and can be reached out via phone at 978-687-2321 and via fax at 978-722-7239.
Provider Profile Details
- NPI Number
- 1588013908
- Provider Name
- Ethan Dionne
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 354 Merrimack St Ste 1, Lawrence, MA 01843-1755
- Phone Number
- 978-687-2321
- Fax Number
- 978-722-7239
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 7, 2016
- Last Update Date
- November 29, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 354 Merrimack St Ste 1
Lawrence, MA 01843-1755 - City
- Lawrence
- State
- Massachusetts
- Zip
- 01843-1755
- Phone Number
- 978-687-2321
- Fax Number
- 978-722-7239
Provider Business Mailing Address Details
- Address
- 354 Merrimack St Ste 1
Lawrence, MA 01843-1755 - City
- Lawrence
- State
- MA
- Zip
- 01843-1755
- Phone Number
- 978-687-2321
- Fax Number
- 978-722-7239
License Information
- License Number (1)
- PA5740
- License State (1)
- MA
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- PA5740
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Surgical providers near Lawrence, MA
View all Physician Assistant, Surgical providers in Lawrence →Frequently Asked Questions
What is the NPI number of Ethan Dionne, PA-C?
The NPI number of Ethan Dionne, PA-C is 1588013908. It was assigned on June 7, 2016 and is currently active in the NPPES registry.
What is the specialty of Ethan Dionne, PA-C?
Ethan Dionne, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in MA under license number PA5740.
Where does Ethan Dionne, PA-C practice?
The practice location is 354 Merrimack St Ste 1, Lawrence, MA 01843-1755. The office can be reached at 978-687-2321 (phone) or 978-722-7239 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588013908 directly on the NPPES registry website.