Eason, Phyllis
Eason, Phyllis is an individual health care provider with primary practice located at 100 4Th St S , Fargo ND 58103-1929. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Eason, Phyllis can be contacted via phone (701) 234-3100.Contact Information
Primary practice address
100 4Th St S
Fargo ND 58103-1929
Phone: (701) 234-3100
Fax: (701) 234-3120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 043926 | Georgia |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 71925 | Wisconsin |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 2015042689 | Missouri |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD61499166 | Washington |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | PT12912 | North Dakota |
Profile Details
| NPI number | 1174596746 |
|---|---|
| LBN Legal business name | Eason, Phyllis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jun 25th, 2024 - about last year |
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 | 1174596746 | NPPES |
| North Dakota | MEDICAID | 18207 | |
| North Dakota | MEDICAID | 1174596746 |
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