Individual provider · Type 1 NPI
Ethan Reiss
Student in an Organized Health Care Education/Training Program · Forest, MS
NPI number
1275368151
Active
Practice location
528 W Moore Tower Rd
Forest, MS 39074-8867
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: 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.
About NPI 1275368151
Ethan Reiss's National Provider Identifier is 1275368151, issued on Sep 3, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Forest, MS. The record was last updated on Sep 3, 2024.