Katie Taylor Ethridge in Scott Depot - Specialist
Katie Taylor Ethridge - NPI 1518183508
Katie Taylor Ethridge is a Specialist in Scott Depot, . Katie Taylor Ethridge practices all healthcare services and medical treatments related to Specialist. The NPI Number for Katie Taylor Ethridge is 1518183508. The last update date is 2012-05-14.
Katie Taylor Ethridge's current location address is Po Box 450, Scott Depot, . You can contact this provider via phone number 3047606300 and fax number 3042015123. The mailing address for Katie Taylor Ethridge is Po Box 450, Scott Depot, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katie Taylor Ethridge |
|---|---|
| Address | Po Box 450, Scott Depot, |
| Phone Number | 3047606300 |
| Fax Number | 3042015123 |
| Sole Proprietor | N |
| Credentials | MOT, OTRL |
NPI Number Detail
| NPI Number | 1518183508 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2012-05-14 |
Provider Mailing Address Detail
| Address | Po Box 450 |
|---|---|
| City | Scott Depot |
| State | (WV) |
| Post Code | 255600450 |
| Phone Number | 3047606300 |
| Fax Number | 3042015123 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 1310 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| JL75-0029 | DC | BCBS PROVIDER NUMBER | |
| 890362-01 | MD | BCBC PROVIDER NUMBER |
Post Comment/ Review Below
What is the Katie Taylor Ethridge's unique identification number?
The Katie Taylor Ethridge has been assigned the NPI (National Provider Identifier) Number 1518183508 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Katie Taylor Ethridge located?
The Katie Taylor Ethridge is located at Po Box 450, Scott Depot, WV 255600450.
What is the Katie Taylor Ethridge's area of specialization and corresponding taxonomy classification?
The Katie Taylor Ethridge's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When was the Katie Taylor Ethridge's 1518183508 issued?
The Katie Taylor Ethridge's 1518183508 was issued on 2007-04-18.
As of what date were the details related to Katie Taylor Ethridge most recently updated or revised?
The information pertaining to Katie Taylor Ethridge, including its address, specialty, and other relevant details, was last updated or revised on 2012-05-14.
NPI Number: 1235130048
Address: 1770 N Orange Grove Ave Ste 101, Pomona, CA