Caudill, Jim S

Caudill, Jim S is an sole proprietor health care provider with primary practice located at 359 North Highway , Hazard KY 41701. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Caudill, Jim S can be contacted via phone (606) 436-3432.

Contact Information

Primary practice address
359 North Highway Hazard KY 41701
Phone: (606) 436-3432
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4317 Kentucky
Dental Providers / Dentist 122300000X 4317 Kentucky

Profile Details

NPI number 1821119983
LBN Legal business name Caudill, Jim S
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
Last updated Dec 19th, 2007 - about 18 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 1821119983 NPPES
Kentucky MEDICAID 60043171

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