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
Phone: (270) 417-4705
Fax: (270) 417-4709
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407919954 | NPPES |
Montana | MEDICAID | 1407919954 |
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