Eastham, Margaret Ellen
Eastham, Margaret Ellen is an individual health care provider with primary practice located at 1030 Chalet Suzanne Rd , Lake Wales FL 33859-7760. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Eastham, Margaret Ellen can be contacted via phone (863) 679-1818.Contact Information
Primary practice address
1030 Chalet Suzanne Rd
Lake Wales FL 33859-7760
Phone: (863) 679-1818
Fax: (863) 679-1097
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME69204 | Florida |
Profile Details
| NPI number | 1386741825 |
|---|---|
| LBN Legal business name | Eastham, Margaret Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2006 |
| Last updated | Feb 23rd, 2017 - about 7 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 | 1386741825 | NPPES |
| Florida | MEDICAID | 252038900 |
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