National Provider Identifier Database

WILLIAM R ETHERIDGE, BOC LP – NPI #1619363835
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

WILLIAM R ETHERIDGE, BOC LP
2202 WESTPARK DR
SUITE A
NORMAN, OK73069-4032
Phone: 405-701-3733
Fax: 405-701-3752
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for WILLIAM R ETHERIDGE

NPI Number 1619363835
Credentials BOC LP
Entity Individual
Enumeration date 04/14/2015
Last updated 06/23/2015 - About 11 years ago
Sole proprietor1 Yes
Identifiers
  • OK License #: C21410
Hospital affiliation n/a

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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