Individual
ETHAN JAMES BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2027 N DUNN ST, BLOOMINGTON, IN 47408-1470
(317) 478-4123
Mailing address
7901 KIMLOUGH DR, INDIANAPOLIS, IN 46240-2622
(317) 478-4123
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/25/2024
Last updated
07/24/2025
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