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

Primary practice address
514 Deepgrove Dr Houston TX 77037-4012
Phone: (281) 380-1375
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649465550 NPPES
Texas MEDICAID 170939601

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