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Individual
ETHAN ALLEN BACHRACH
Active
Individual
ETHAN ALLEN BACHRACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00044707
WA
207P00000X
Emergency Medicine Physician
MD27306
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202675
LIWA
WA
01
—
0216266
LIWA
WA
01
—
0227894
LIWA
WA
01
—
041428016
BSOR
OR
05
—
247610
—
OR
01
—
3075BA
BSWA
WA
01
—
3079BA
BSWA
WA
05
—
8077014
—
ID
05
—
8429581
—
WA
Enumeration date
05/25/2006
Last updated
10/26/2010
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