Eugene D. Eddlemon, M.D., Inc.

LBN: Eugene D. Eddlemon, M.D., Inc.
Eugene D. Eddlemon, M.D., Inc. is an health care organization with primary practice located at 95 Declaration Dr Suite 1, Chico CA 95973-4916. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is the primary health care specialty. Eugene D. Eddlemon, M.D., Inc. can be contacted via phone (530) 345-9455, or through Eddlemon, Eugene Dale via phone (530) 345-9455.

Contact Information

Primary practice address
95 Declaration Dr Suite 1 Chico CA 95973-4916
Fax: (530) 345-6628
Website:
Authorized official contact:
Name: Eddlemon, Eugene Dale Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G68376 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G68376 California

Profile Details

NPI number 1548470826
LBN Legal business name Eugene D. Eddlemon, M.D., Inc.
DBA Doing business as
Authorized official Eddlemon, Eugene Dale Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Jun 21st, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548470826 NPPES
California MEDICAID 00G683761
California Other DA8636
California Other G68376

Popular Providers