Ethridge, Brian Lee

Ethridge, Brian Lee is an individual health care provider with primary practice located at 333 W Main St , Madison WI 53703-2777. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Ethridge, Brian Lee can be contacted via phone (608) 283-2123.

Contact Information

Primary practice address
333 W Main St Madison WI 53703-2777
Phone: (608) 283-2123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 794-019 Wisconsin

Profile Details

NPI number 1184770711
LBN Legal business name Ethridge, Brian Lee
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Feb 5th, 2014 - about 11 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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