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ETHERIDGE PROSTHETICS LLC

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

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Contact Information

ETHERIDGE PROSTHETICS LLC
2202 WESTPARK DR
SUITE A
NORMAN, OK  73069-4033
 Phone: 405-701-3733
 Fax: 405-701-3752
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Prosthetist

 224P00000X 56 Individual Certified Prosthetist
Indicates primary specialty

NPI Profile & details for ETHERIDGE PROSTHETICS LLC

NPI # 1023490349
LBN Legal business name ETHERIDGE PROSTHETICS LLC
Authorized official WILLIAM ETHERIDGE - (PROSTHETIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/23/2015
Last updated 11/20/2015 - About 11 years ago
Identifiers
OK License # C21410
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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