Ethridge, Jesse C
Ethridge, Jesse C is an individual health care provider with primary practice located at 501 Marshall Street Suite 400, Jackson MS 39202-1687. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ethridge, Jesse C can be contacted via phone (601) 354-0869.Contact Information
Primary practice address
501 Marshall Street Suite 400
Jackson MS 39202-1687
Phone: (601) 354-0869
Fax: (601) 352-6521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 12438 | Mississippi |
Profile Details
| NPI number | 1043263841 |
|---|---|
| LBN Legal business name | Ethridge, Jesse C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Nov 19th, 2011 - 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 | 1043263841 | NPPES |
| Mississippi | MEDICAID | 0011229 |
Popular Providers
-
Ball, George Christopher
2500 N State St Dept Of Ob-Gyn, Jackson MS 39216-4500 -
Novotny, Sarah
2500 N State St Department Of Ob/Gyn, Jackson MS 39216-4500 -
Flynt, Joel Ray
3502 West Nortside Drive , Jackson MS 39213 -
Rice, Paul M
1860 Chadwick Dr 300, Jackson MS 39204-3463 -
Bouldin, Sheila
2500 N State St , Jackson MS 39216-4500 -
Edwards, Leigh Bailey
1020 River Oaks Drive Suite 310, Jackson MS 39232 -
Short, Valerie
3502 W Northside Dr , Jackson MS 39213-4454 -
Gebhart, Leland D
501 Marshall Street Suite 400, Jackson MS 39202-1687