Easterling, Jessica N B

Easterling, Jessica N B is an individual health care provider with primary practice located at 150 Frankfort Rd Ste 101 , Shelbyville KY 40065-7401. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Easterling, Jessica N B can be contacted via phone (502) 647-5468.

Contact Information

Primary practice address
150 Frankfort Rd Ste 101 Shelbyville KY 40065-7401
Phone: (502) 647-5468
Fax: (502) 732-7136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 43516 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 43516 Kentucky

Profile Details

NPI number 1669656849
LBN Legal business name Easterling, Jessica N B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2007
Last updated Feb 14th, 2024 - about 9 months 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 1669656849 NPPES
Kentucky MEDICAID 7100174360

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