Etter, Joe M
Etter, Joe M is an individual health care provider with primary practice located at 312 E Renfro St Suite 101, Burleson TX 76028-3947. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Etter, Joe M can be contacted via phone (817) 295-3100.Contact Information
Primary practice address
312 E Renfro St Suite 101
Burleson TX 76028-3947
Phone: (817) 295-3100
Fax: (817) 295-3158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L9685 | Texas |
Profile Details
| NPI number | 1336197599 |
|---|---|
| LBN Legal business name | Etter, Joe M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Mar 16th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336197599 | NPPES |
| Texas | MEDICAID | 181100201 |
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