Ex, Eric J

Ex, Eric J is an individual health care provider with primary practice located at 1201 Pleasant Valley Rd 7Th Floor, Owensboro KY 42303-9811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ex, Eric J can be contacted via phone (270) 417-4705.

Contact Information

Primary practice address
1201 Pleasant Valley Rd 7Th Floor Owensboro KY 42303-9811
Fax: (270) 417-4709
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10975 Montana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 49195 Kentucky

Profile Details

NPI number 1407919954
LBN Legal business name Ex, Eric J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jul 6th, 2016 - 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 1407919954 NPPES
Montana MEDICAID 1407919954

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