Eady, Marvin Preston
Eady, Marvin Preston is an individual health care provider with primary practice located at 4646 W Jefferson Blvd Suite 140, Fort Wayne IN 46804-6842. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Eady, Marvin Preston can be contacted via phone (260) 459-1415.Contact Information
Primary practice address
4646 W Jefferson Blvd Suite 140
Fort Wayne IN 46804-6842
Phone: (260) 459-1415
Fax: (260) 459-1419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12009115A | Indiana |
Profile Details
| NPI number | 1457331332 |
|---|---|
| LBN Legal business name | Eady, Marvin Preston |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Jul 9th, 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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