ETHAN JAMES GIFFORD - NPI 1356925358 - Peer Specialist in Franklin Furnace, OH

Q: What is Ethan Gifford's NPI number?

The NPI number for Ethan Gifford is 1356925358. It was assigned to this individual provider in the NPPES registry on May 6, 2021.

Q: What is Ethan Gifford's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Gifford was last updated on May 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ethan James Gifford NPPES

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

ETHAN JAMES GIFFORD (NPI 1356925358) is an individual peer specialist in Franklin Furnace, Ohio and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1356925358

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameETHAN JAMES GIFFORD

Location Address303 GERVAIS RDFranklin Furnace, OH 45629-8742

Mailing Address303 Gervais RdFranklin Furnace, OH 45629-8742 · (740) 259-7000 · Fax (740) 480-5201

Phone(740) 259-7000

Fax(740) 480-5201

Sole ProprietorYes

Enumeration DateMay 6, 2021

NPPES CertifiedMay 6, 2021

✔ NPI 1356925358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

303 GERVAIS RD, Franklin Furnace, OH 45629

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP