Eddy, Steven Robert

Eddy, Steven Robert is an individual health care provider with primary practice located at 7601 W Jefferson Blvd , Fort Wayne IN 46804-4133. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Eddy, Steven Robert can be contacted via phone (260) 436-8686.

Contact Information

Primary practice address
7601 W Jefferson Blvd Fort Wayne IN 46804-4133
Phone: (260) 436-8686
Fax: (260) 436-8585
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 01071093A Indiana
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 35.090622 Ohio
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01071093A Indiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35.090622 Ohio

Profile Details

NPI number 1093997066
LBN Legal business name Eddy, Steven Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2007
Last updated Mar 10th, 2016 - about 8 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 1093997066 NPPES
Indiana MEDICAID 201080990
Indiana Other 000000766688
Indiana Other P01130654
Indiana MEDICAID 0084595

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