Eldridge, Wendell Craig
Eldridge, Wendell Craig is an individual health care provider with primary practice located at 420 Superior St , Sandusky OH 44870-1849. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eldridge, Wendell Craig can be contacted via phone (419) 626-5623.Contact Information
Primary practice address
420 Superior St
Sandusky OH 44870-1849
Phone: (419) 626-5623
Fax: (419) 626-8778
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35089045 | Ohio |
Profile Details
NPI number | 1558562314 |
---|---|
LBN Legal business name | Eldridge, Wendell Craig |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 30th, 2007 |
Last updated | Aug 5th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558562314 | NPPES |
Ohio | MEDICAID | 0236248 | |
Ohio | MEDICAID | 2797899 |
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