Dedden, Samuel Jacob

Dedden, Samuel Jacob is an individual health care provider with primary practice located at 560 S Loop Rd , Edgewood KY 41017-3405. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Dedden, Samuel Jacob can be contacted via phone (859) 301-2663.

Contact Information

Primary practice address
560 S Loop Rd Edgewood KY 41017-3405
Phone: (859) 301-2663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1700422995
LBN Legal business name Dedden, Samuel Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2019
Last updated Nov 21st, 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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