NPI 1073243275

Ethan Holmes

Practitioner Peer Specialist Beachwood, OH

Practice location

Address: 25201 Chagrin Blvd STE 390, Beachwood, OH 44122-5637
Phone: (216) 910-9015

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1073243275
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jun 2022
Record last updated: 13 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.