Ethridge, Richard Thomas
Ethridge, Richard Thomas is an sole proprietor health care provider with primary practice located at 1100 Poudre River Dr Unit A , Fort Collins CO 80524-3557. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Ethridge, Richard Thomas can be contacted via phone (970) 484-6303.Contact Information
Primary practice address
1100 Poudre River Dr Unit A
Fort Collins CO 80524-3557
Phone: (970) 484-6303
Fax: (704) 843-0369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | DR.0063642 | Colorado |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | M5152 | Texas |
Profile Details
| NPI number | 1013108299 |
|---|---|
| LBN Legal business name | Ethridge, Richard Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2007 |
| Last updated | Jan 23rd, 2020 - about 6 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 | 1013108299 | NPPES |
| Other | 768289543 | MYUTMB 768289543 |
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