Etheredge, Stephen Norfleet
Etheredge, Stephen Norfleet is an individual health care provider with primary practice located at 365 Hawthorne Ave Ste 103, Oakland CA 94609-3107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Etheredge, Stephen Norfleet can be contacted via phone (510) 832-6131.Contact Information
Primary practice address
365 Hawthorne Ave Ste 103
Oakland CA 94609-3107
Phone: (510) 832-6131
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | C38647 | California |
Profile Details
| NPI number | 1770694101 |
|---|---|
| LBN Legal business name | Etheredge, Stephen Norfleet |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | May 21st, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770694101 | NPPES |
| California | MEDICAID | 00C386470 |
Popular Providers
-
Pak, Jimmy J.W.
275 W Macarthur Blvd , Oakland CA 94611-5641 -
Jackson, Camille
1411 E 31St St Department Of Surgery, Oakland CA 94602-1018 -
Bry, John David
350 30Th St Ste 210 , Oakland CA 94609-3425 -
Wong, Leslie
3600 Broadway Fl 3 , Oakland CA 94611-5730 -
Uribe, Alexander
100 E Lancaster Ave Ste 222 , Wynnewood PA 19096 -
Rea, Jessica
1411 E 31St St Qic 22134, Oakland CA 94602-1018 -
Levine, Arnold W.
275 W Macarthur Blvd , Oakland CA 94611-5641 -
Byrnett, Jeffrey William
1234 Huffman Mill Road , Burlington NC 27215-8700