Caddell, Joseph S

Caddell, Joseph S is an individual health care provider with primary practice located at 1001 Saint Joseph Ln , London KY 40741-8345. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Caddell, Joseph S can be contacted via phone (606) 330-6000.

Contact Information

Primary practice address
1001 Saint Joseph Ln London KY 40741-8345
Phone: (606) 330-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1449 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA974 Kentucky

Profile Details

NPI number 1588737621
LBN Legal business name Caddell, Joseph S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated May 3rd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588737621 NPPES
Tennessee Other 1449 PA LICENCE
Tennessee MEDICAID 7100313470 PA LICENCE
Tennessee Other PA974 PA LICENCE

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