Etheridge, Wayne Carlton

Etheridge, Wayne Carlton is an sole proprietor health care provider with primary practice located at 5030 Anchor Way , Christiansted VI 00820-4692. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Etheridge, Wayne Carlton can be contacted via phone (340) 773-7772.

Contact Information

Primary practice address
5030 Anchor Way Christiansted VI 00820-4692
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 04-019-PSY Virgin Islands

Profile Details

NPI number 1609923713
LBN Legal business name Etheridge, Wayne Carlton
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Jan 14th, 2020 - about 4 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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