Ethos Foundation Incorporated | |
312 S Washington St 3a Alexandria VA 22314-3684 | |
(703) 535-6800 | |
(703) 535-6999 |
Full Name | Ethos Foundation Incorporated |
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Speciality | Clinic/center |
Location | 312 S Washington St, Alexandria, Virginia |
Authorized Official Name and Position | Philip Ignatius Brennan (PRESIDENT) |
Authorized Official Contact | 7035356800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ethos Foundation Incorporated 312 S Washington St 3a Alexandria VA 22314-3684 Ph: (703) 535-6800 | Ethos Foundation Incorporated 312 S Washington St 3a Alexandria VA 22314-3684 Ph: (703) 535-6800 |
NPI Number | 1427488014 |
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Provider Enumeration Date | 11/18/2013 |
Last Update Date | 11/18/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427488014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 145 (Virginia) | Primary |
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