Eidbo, Joel
Eidbo, Joel is an sole proprietor health care provider with primary practice located at 751 Liberty St , Meadville PA 16335-2559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Eidbo, Joel can be contacted via phone (814) 437-5234.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD046905L | Pennsylvania |
Profile Details
| NPI number | 1295715100 |
|---|---|
| LBN Legal business name | Eidbo, Joel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Jun 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295715100 | NPPES |
| Pennsylvania | MEDICAID | 0012939270002 |
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