Ethridge, Martha J
Ethridge, Martha J is an sole proprietor health care provider with primary practice located at 514 Deepgrove Dr , Houston TX 77037-4012. She recently has 2 registered licenses in different health care specialties including Transportation Services / Ambulance, Emergency Medical Service Providers / Emergency Medical Technician, Basic. Transportation Services / Ambulance is her primary health care specialty. Ethridge, Martha J can be contacted via phone (281) 380-1375.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Ambulance | 341600000X | 88439 | Texas |
| Emergency Medical Service Providers / Emergency Medical Technician, Basic | 146N00000X | 88439 | Texas |
Profile Details
| NPI number | 1649465550 |
|---|---|
| LBN Legal business name | Ethridge, Martha J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2007 |
| Last updated | Mar 27th, 2009 - about 17 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 | 1649465550 | NPPES |
| Texas | MEDICAID | 170939601 |
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