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ETHAN REISS
NPI 1275368151
Student in an Organized Health Care Education/Training Program in Forest, MS

Active since September 03, 2024
528 W MOORE TOWER RD, FOREST, MS 39074(662) 882-2910 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ethan Reiss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN REISS (NPI 1275368151) is an individual student in an organized health care education/training program in Forest, Mississippi and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1275368151
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN REISS
Location Address528 W MOORE TOWER RDForest, MS 39074-8867
Mailing Address528 W Moore Tower RdForest, MS 39074-8867 · (662) 882-2910
Phone(662) 882-2910
Sole ProprietorYes
Enumeration DateSeptember 3, 2024
NPPES CertifiedSeptember 3, 2024
✔ NPI 1275368151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
528 W MOORE TOWER RD, Forest, MS 39074
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Reiss's NPI number?

The NPI number for Ethan Reiss is 1275368151. It was assigned to this individual provider in the NPPES registry on September 3, 2024.

Where is Ethan Reiss located?

Ethan Reiss practices at 528 W Moore Tower Rd, Forest, MS 39074. The listed phone number is (662) 882-2910.

What is Ethan Reiss's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ethan Reiss was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.