Eadens, Debra J
Eadens, Debra J is an individual health care provider with primary practice located at 402 Bogle St Ste 3, Somerset KY 42503-2870. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Eadens, Debra J can be contacted via phone (606) 451-9953.Contact Information
Primary practice address
402 Bogle St Ste 3
Somerset KY 42503-2870
Phone: (606) 451-9953
Fax: (606) 451-1533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 29813 | Kentucky |
Profile Details
| NPI number | 1477544872 |
|---|---|
| LBN Legal business name | Eadens, Debra J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Jun 12th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477544872 | NPPES |
| Kentucky | Other | 04-00404 | UNITED HEALTHCARE |
| Kentucky | Other | 1183452 | UNITED HEALTHCARE |
| Kentucky | Other | 611350780 | UNITED HEALTHCARE |
| Kentucky | Other | 000000074702 | UNITED HEALTHCARE |
| Kentucky | Other | 37J8 | UNITED HEALTHCARE |
| Kentucky | MEDICAID | 64298136 | UNITED HEALTHCARE |
| Kentucky | Other | 110198804 | UNITED HEALTHCARE |
| Kentucky | Other | 5520074 | UNITED HEALTHCARE |
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