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ETHERIDGE PROSTHETICS LLC NPI 1023490349


NPI Information

NPI: 1023490349
Provider Name: ETHERIDGE PROSTHETICS LLC
Classification: Prosthetist - 224P00000X
Entity Type: Organization
Address:
2202 WESTPARK DR
SUITE A
NORMAN, OK
ZIP 73069
Phone: (405) 701-3733
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ETHERIDGE PROSTHETICS LLC is a prosthetist in Norman, OK. The provider is a health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. ETHERIDGE PROSTHETICS LLC NPI is 1023490349. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2202 WESTPARK DR
SUITE A
NORMAN, OK
ZIP 73069-033
Phone: (405) 701-3733
Fax: (405) 701-3752

The provider's authorized official is William Robert Etheridge .
The authorized official title is Prosthetist and has the following contact phone number (405) 323-6936.

The enumeration date for this NPI number is 6/23/2015 and was last updated on 11/20/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1224P00000XProsthetistC21410OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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