Eddy, Martha E.

Eddy, Martha E. is an individual health care provider with primary practice located at 234 E Gray St Suite 270, Louisville KY 40202-1903. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Eddy, Martha E. can be contacted via phone (502) 629-8830.

Contact Information

Primary practice address
234 E Gray St Suite 270 Louisville KY 40202-1903
Phone: (502) 629-8830
Fax: (502) 629-7540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 3001550 Kentucky

Profile Details

NPI number 1376590562
LBN Legal business name Eddy, Martha E.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Oct 29th, 2012 - about 13 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 1376590562 NPPES
Indiana MEDICAID 200803070

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