Eldridge, John P

Eldridge, John P is an individual health care provider with primary practice located at 20 Medical Village Dr , Edgewood KY 41017-5401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Eldridge, John P can be contacted via phone (859) 344-1600.

Contact Information

Primary practice address
20 Medical Village Dr Edgewood KY 41017-5401
Phone: (859) 344-1600
Fax: (859) 344-0091
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 23565 Kentucky

Profile Details

NPI number 1609817394
LBN Legal business name Eldridge, John P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Mar 18th, 2019 - about 5 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 1609817394 NPPES
Kentucky Other 4201976 AETNA
Kentucky MEDICAID 0707088 AETNA
Kentucky MEDICAID 64235658 AETNA
Kentucky Other 000000747824 AETNA
Kentucky Other 000000033738 AETNA
Kentucky Other 3700184 AETNA
Kentucky Other 020010539 AETNA
Kentucky Other 0789943 AETNA

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