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Contact Information

ETHAN B RUTLEDGE, DO
110 DUNHILL PL NW
CLEVELAND, TN37311
 Phone: 423-476-2212
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ETHAN B RUTLEDGE · (Male)

NPI Number 1508156696
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/11/2011
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 34.011041
  • TN License # 3169
Hospital affiliation(s)
  • SKYRIDGE MEDICAL CENTER - (Acute Care)
    2305 CHAMBLISS AVE NW
    CLEVELAND, TN 37311
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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