Eddlemon, Eugene D.
Eddlemon, Eugene D. is an individual health care provider with primary practice located at 95 Declaration Dr Suite 1, Chico CA 95973-4916. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Eddlemon, Eugene D. can be contacted via phone (530) 345-9455.Contact Information
Primary practice address
95 Declaration Dr Suite 1
Chico CA 95973-4916
Phone: (530) 345-9455
Fax: (530) 345-6628
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | G68376 | California |
Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | G68376 | California |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | G68376 | California |
Profile Details
NPI number | 1871525477 |
---|---|
LBN Legal business name | Eddlemon, Eugene D. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 6th, 2006 |
Last updated | Apr 27th, 2012 - about 12 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 | 1871525477 | NPPES |
California | Other | G68376 | BLUE CROSS/SHIELD, ETC. |
California | Other | P00075271 | BLUE CROSS/SHIELD, ETC. |
California | MEDICAID | 00G683761 | BLUE CROSS/SHIELD, ETC. |
California | Other | 94-3365249 | BLUE CROSS/SHIELD, ETC. |
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