Ethridge, Scott David

Ethridge, Scott David is an individual health care provider with primary practice located at 3100 Maccorkle Ave Se Suite 806, Charleston WV 25304-1223. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Ethridge, Scott David can be contacted via phone (304) 344-9480.

Contact Information

Primary practice address
3100 Maccorkle Ave Se Suite 806 Charleston WV 25304-1223
Phone: (304) 344-9480
Fax: (304) 344-9481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 01317 West Virginia

Profile Details

NPI number 1326228552
LBN Legal business name Ethridge, Scott David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2007
Last updated Jan 24th, 2017 - about 7 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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