Search › Ohio › 101YA0400X
Charles Etheridge, CDCA
NPI 1245759794 · on the registry since 2017
Practice
- Address
- 1131 E Broad St
Elyria, OH 44035 - Phone
- (440) 365-1900
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-09-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio