Justin Etzel is a student in an organized health care education training program in Baltimore, MD. 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. Justin Etzel NPI is 1588168488. 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:
2401 W BELVEDERE AVE
BALTIMORE, MD
ZIP 21215-216
Phone: (410) 601-7639
The NPI 1588168488 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 3/23/2018 and was last updated on 3/23/2018.