Michelle Ethridge in Fresno - Addiction (substance Use Disorder)
Michelle Ethridge - NPI 1548461379
Michelle Ethridge is a Addiction (substance Use Disorder) in Fresno, California. Michelle Ethridge practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Michelle Ethridge is 1548461379. The last update date is 2007-07-08.
Michelle Ethridge's current location address is 7299 N Channing Way, Fresno, California. You can contact this provider via phone number 5592681466 and fax number 5592681302. The mailing address for Michelle Ethridge is 7299 N Channing Way, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Ethridge |
|---|---|
| Address | 7299 N Channing Way, Fresno, California |
| Phone Number | 5592681466 |
| Fax Number | 5592681302 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1548461379 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7299 N Channing Way |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937110487 |
| Phone Number | 5592681466 |
| Fax Number | 5592681302 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 24004AP | CA | SUBSTANCE ABUSE |
Post Comment/ Review Below
What is the unique identifier code issued to Michelle Ethridge by the Centers for Medicare & Medicaid Services (CMS)?
The Michelle Ethridge has been assigned the NPI (National Provider Identifier) 1548461379. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Michelle Ethridge?
The Michelle Ethridge is physically situated at 7299 N Channing Way, in the city of Fresno, state of CA, with the postal code 937110487.
What is the Michelle Ethridge's area of specialization and corresponding taxonomy classification?
The Michelle Ethridge's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1548461379 to Michelle Ethridge?
The Centers for Medicare & Medicaid Services originally issued the 1548461379 to Michelle Ethridge on 2007-05-30.
When was the information regarding Michelle Ethridge, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Michelle Ethridge, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.