Individual provider · Type 1 NPI

Ethan Wade Lettich

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1780567784 Active

Practice location

W 10th St., Fairbanks Hall, Suite 6200
Indianapolis, IN 46202-3082

Call (317) 274-8157 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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.

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About NPI 1780567784

Ethan Wade Lettich's National Provider Identifier is 1780567784, issued on Jul 28, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 28, 2025.