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Contact Information

ETHAN CHANAN
3230 PENNSYLVANIA AVE SE STE 205
WASHINGTON, DC20020-3731
 Phone: 202-796-9775
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ETHAN CHANAN · (Male)

NPI Number 1497596274
Status Active
Credentials
Entity Individual
Enumeration date 06/04/2024
Last updated 08/07/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers
  • DC License # NP500125704
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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