Etheridge, Jon Lloyd

Etheridge, Jon Lloyd is an sole proprietor health care provider with primary practice located at 1711 N Main St , Summerville SC 29483-7807. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Etheridge, Jon Lloyd can be contacted via phone (843) 875-2268.

Contact Information

Primary practice address
1711 N Main St Summerville SC 29483-7807
Fax: (843) 875-2267
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1243 South Carolina

Profile Details

NPI number 1043274707
LBN Legal business name Etheridge, Jon Lloyd
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2006
Last updated Aug 2nd, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043274707 NPPES
South Carolina MEDICAID CH1243

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