Eastvold, Paul J

Eastvold, Paul J is an individual health care provider with primary practice located at 350 7Th St N , Naples FL 34102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Eastvold, Paul J can be contacted via phone (813) 263-5107.

Contact Information

Primary practice address
350 7Th St N Naples FL 34102
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 83343 Florida

Profile Details

NPI number 1912971078
LBN Legal business name Eastvold, Paul J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Sep 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912971078 NPPES
Florida MEDICAID 262862700

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