Eubank, Wanda

Eubank, Wanda is an individual health care provider with primary practice located at 380 Suwannee Trail Street , Bowling Green KY 42103. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Eubank, Wanda can be contacted via phone (270) 901-5000.

Contact Information

Primary practice address
380 Suwannee Trail Street Bowling Green KY 42103
Phone: (270) 901-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1055267 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1869 Kentucky

Profile Details

NPI number 1790734556
LBN Legal business name Eubank, Wanda
Credentials LCSW, RN
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Dec 15th, 2017 - 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 1790734556 NPPES
Kentucky MEDICAID 7100287840

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