Ethan B Shipp is a student in an organized health care education training program in Murray, UT with 4 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Ethan B Shipp NPI is 1114403698. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
650 E 4500 S STE 300
MURRAY, UT
ZIP 84107-502
Phone: (801) 261-3500
The NPI 1114403698 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/17/2018 and was last updated on 7/17/2018.