Etheredge, Michael C

Etheredge, Michael C is an individual health care provider with primary practice located at 77 Nealy Ave , Langley Afb VA 23665-2040. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Etheredge, Michael C can be contacted via phone (757) 764-6800.

Contact Information

Primary practice address
77 Nealy Ave Langley Afb VA 23665-2040
Phone: (757) 764-6800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X

Profile Details

NPI number 1639729106
LBN Legal business name Etheredge, Michael C
Credentials IDMT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2019
Last updated Sep 17th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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