Etheridge, Andrew Jackson

Etheridge, Andrew Jackson is an individual health care provider with primary practice located at 601 N Caroline St Fl 6 , Baltimore MD 21287-0006. He recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Ocularist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Anaplastologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Anaplastologist is his primary health care specialty. Etheridge, Andrew Jackson can be contacted via phone (410) 955-8215.

Contact Information

Primary practice address
601 N Caroline St Fl 6 Baltimore MD 21287-0006
Phone: (410) 955-8215
Fax: (410) 955-1085
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ocularist 156FX1700X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter 224900000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist 224L00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Anaplastologist 229N00000X

Profile Details

NPI number 1487246369
LBN Legal business name Etheridge, Andrew Jackson
Credentials CCA, CFO, CFM, CPED
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2021
Last updated Aug 30th, 2022 - about 2 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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