Etheridge, Eugene Wesley
Etheridge, Eugene Wesley is an individual health care provider with primary practice located at 631 South 25Th Street , Terre Haute IN 47803. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Etheridge, Eugene Wesley can be contacted via phone (812) 232-8803.Contact Information
Primary practice address
631 South 25Th Street
Terre Haute IN 47803
Phone: (812) 232-8803
Fax: (812) 232-8803
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 08001352 | Indiana |
Profile Details
| NPI number | 1427168517 |
|---|---|
| LBN Legal business name | Etheridge, Eugene Wesley |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Nov 8th, 2007 - about 18 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 | 1427168517 | NPPES |
| Indiana | Other | 08001352 | ALL OTHERS |
| Indiana | Other | 000000093143 | ALL OTHERS |
| Indiana | Other | 5982232 | ALL OTHERS |
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