Etheridge, Barbara Anne

Etheridge, Barbara Anne is an sole proprietor health care provider with primary practice located at 27 Clyde Rd Ste 102 , Somerset NJ 08873-5039. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Etheridge, Barbara Anne can be contacted via phone (732) 246-0057.

Contact Information

Primary practice address
27 Clyde Rd Ste 102 Somerset NJ 08873-5039
Fax: (732) 745-7070
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA06795700 New Jersey

Profile Details

NPI number 1184792814
LBN Legal business name Etheridge, Barbara Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Jan 25th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184792814 NPPES
New Jersey MEDICAID 7743408

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