Etheridge, Michaela Teresa

Etheridge, Michaela Teresa is an sole proprietor health care provider with primary practice located at 2500 Anthuan Maybank St , Georgetown SC 29440-2520. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Etheridge, Michaela Teresa can be contacted via phone (843) 458-1601.

Contact Information

Primary practice address
2500 Anthuan Maybank St Georgetown SC 29440-2520
Phone: (843) 458-1601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2105 South Carolina

Profile Details

NPI number 1619502390
LBN Legal business name Etheridge, Michaela Teresa
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2020
Last updated Mar 3rd, 2020 - about 5 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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