Etheridge, Amanda

Etheridge, Amanda is an sole proprietor health care provider with primary practice located at 6202 S Lewis Ave Ste J , Tulsa OK 74136-1064. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Etheridge, Amanda can be contacted via phone (918) 392-7988.

Contact Information

Primary practice address
6202 S Lewis Ave Ste J Tulsa OK 74136-1064
Phone: (918) 392-7988
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1104123405
LBN Legal business name Etheridge, Amanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2011
Last updated Aug 27th, 2021 - about 4 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.

Request for update

Popular Providers