Etheredge, Stephen Norfleet
Etheredge, Stephen Norfleet is an individual health care provider with primary practice located at 365 Hawthorne Ave Ste 103, Oakland CA 94609-3107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Etheredge, Stephen Norfleet can be contacted via phone (510) 832-6131.Contact Information
Primary practice address
365 Hawthorne Ave Ste 103
Oakland CA 94609-3107
Phone: (510) 832-6131
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | C38647 | California |
Profile Details
| NPI number | 1770694101 |
|---|---|
| LBN Legal business name | Etheredge, Stephen Norfleet |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | May 21st, 2008 - about 18 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 | 1770694101 | NPPES |
| California | MEDICAID | 00C386470 |
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