Etheridge, Amanda
Etheridge, Amanda is an sole proprietor health care provider with primary practice located at 6202 S Lewis Ave Ste J , Tulsa OK 74136-1064. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Etheridge, Amanda can be contacted via phone (918) 392-7988.Contact Information
Primary practice address
6202 S Lewis Ave Ste J
Tulsa OK 74136-1064
Phone: (918) 392-7988
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
NPI number | 1104123405 |
---|---|
LBN Legal business name | Etheridge, Amanda |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 22nd, 2011 |
Last updated | Aug 27th, 2021 - about 4 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.
Popular Providers
-
Johnson, Dorri Donyelle
2048 N. Rosedale Ave , Tulsa OK 74127 -
Rivero, Marcos
130 N. Greenwood, Suite 302 , Tulsa OK 74120 -
Olvera, Tonya Maria
650 S Peoria Ave , Tulsa OK 74120-4429 -
Newnam, Anje
8753 S College Ave , Tulsa OK 74137-2513 -
Manuel, H Brad B
557 N Denver , Tulsa OK 74127-5645 -
Dodson, Dana Lynnette
5555 S Lewis Ave , Tulsa OK 74105-7104 -
Phillips, Cloud S
3540 E 31St St Ste 3 , Tulsa OK 74135-1526 -
Orms, Cynthia Joan
650 S Peoria Ave , Tulsa OK 74120-4429