Ethridge, Leslie Kevin

Ethridge, Leslie Kevin is an sole proprietor health care provider with primary practice located at 124 Ford Ave , Newton MS 39345-2222. He recently has 10 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Neurology, Chiropractic Providers / Nutrition, Chiropractic Providers / Pediatric Chiropractor, Chiropractic Providers / Radiology, Chiropractic Providers / Rehabilitation, Chiropractic Providers / Sports Physician, Chiropractic Providers / Thermography, Chiropractic Providers / Occupational Health, Chiropractic Providers / Orthopedic. Chiropractic Providers / Neurology is his primary health care specialty. Ethridge, Leslie Kevin can be contacted via phone (601) 527-9707.

Contact Information

Primary practice address
124 Ford Ave Newton MS 39345-2222
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1209 Mississippi
Chiropractic Providers / Neurology 111NN0400X 1209 Mississippi
Chiropractic Providers / Nutrition 111NN1001X 1209 Mississippi
Chiropractic Providers / Pediatric Chiropractor 111NP0017X 1209 Mississippi
Chiropractic Providers / Radiology 111NR0200X 1209 Mississippi
Chiropractic Providers / Rehabilitation 111NR0400X 1209 Mississippi
Chiropractic Providers / Sports Physician 111NS0005X 1209 Mississippi
Chiropractic Providers / Thermography 111NT0100X 1209 Mississippi
Chiropractic Providers / Occupational Health 111NX0100X 1209 Mississippi
Chiropractic Providers / Orthopedic 111NX0800X 1209 Mississippi

Profile Details

NPI number 1598197584
LBN Legal business name Ethridge, Leslie Kevin
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2013
Last updated Aug 1st, 2013 - 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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