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
Phone: (530) 345-9455
Fax: (530) 345-6628
Website:
Authorized official contact:
Name: Eddlemon, Eugene Dale Doctor of Medicine (MD)
Phone: (530) 345-9455
Health care specialties
| Specialty | Code | License # | 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 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548470826 | NPPES |
| California | MEDICAID | 00G683761 | |
| California | Other | DA8636 | |
| California | Other | G68376 |
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