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
Phone: (843) 875-2268
Fax: (843) 875-2267
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043274707 | NPPES |
South Carolina | MEDICAID | CH1243 |
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