Etheridge, Liesa

Etheridge, Liesa is an individual health care provider with primary practice located at 205 N Jackson St , Frankfort IN 46041-1936. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Etheridge, Liesa can be contacted via phone (765) 659-4771.

Contact Information

Primary practice address
205 N Jackson St Frankfort IN 46041-1936
Phone: (765) 659-4771
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39002925A Indiana

Profile Details

NPI number 1023567138
LBN Legal business name Etheridge, Liesa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2016
Last updated Sep 30th, 2016 - about 9 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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