Eldridge, Eugene John
Eldridge, Eugene John is an individual health care provider with primary practice located at 1400 75Th St Suite 3, Kenosha WI 53143-1544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Eldridge, Eugene John can be contacted via phone (262) 652-9500.Contact Information
Primary practice address
1400 75Th St Suite 3
Kenosha WI 53143-1544
Phone: (262) 652-9500
Fax: (262) 652-0760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25921 | Wisconsin |
Profile Details
| NPI number | 1932284296 |
|---|---|
| LBN Legal business name | Eldridge, Eugene John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1932284296 | NPPES |
| Wisconsin | MEDICAID | 31384000 |
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