Ethan Burg
Student in an Organized Health Care Education/Training Program in Lebanon, New Hampshire
1679376404- Practice location
- 1 Medical Dr Dept Of, Lebanon, NH 03756-0001
- Phone
- 603-650-5000
- Fax
- —
- Last updated
- March 28, 2025
Ethan Burg is a Student in an Organized Health Care Education/Training Program based in Lebanon, NH. Ethan Burg practices in Lebanon, NH. The NPI Number for Ethan Burg is 1679376404. The current practice location address for Ethan Burg is 1 Medical Dr Dept Of, Lebanon, NH 03756-0001 and can be reached out via phone at 603-650-5000.
Provider Profile Details
- NPI Number
- 1679376404
- Provider Name
- Ethan Burg
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Medical Dr Dept Of, Lebanon, NH 03756-0001
- Phone Number
- 603-650-5000
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 28, 2025
- Last Update Date
- March 28, 2025
- Certification Date
- March 28, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Medical Dr Dept Of
Lebanon, NH 03756-0001 - City
- Lebanon
- State
- New Hampshire
- Zip
- 03756-0001
- Phone Number
- 603-650-5000
Provider Business Mailing Address Details
- Address
- 1 Medical Dr Dept Of
Lebanon, NH 03756-0001 - City
- Lebanon
- State
- NH
- Zip
- 03756-0001
- Phone Number
- 603-650-5000
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Student in an Organized Health Care Education/Training Program providers near Lebanon, NH
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Frequently Asked Questions
What is the NPI number of Ethan Burg?
The NPI number of Ethan Burg is 1679376404. It was assigned on March 28, 2025 and is currently active in the NPPES registry.
What is the specialty of Ethan Burg?
Ethan Burg is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Ethan Burg practice?
The practice location is 1 Medical Dr Dept Of, Lebanon, NH 03756-0001. The office can be reached at 603-650-5000 (phone).
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 1679376404 directly on the NPPES registry website.