E John Eldridge Md Sc

LBN: E John Eldridge Md Sc
E John Eldridge Md Sc is an health care organization with primary practice located at 1400 75Th St Suite 3, Kenosha WI 53143. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. E John Eldridge Md Sc can be contacted via phone (262) 652-9500, or through Eldridge, Eugene John via phone (262) 652-9500.

Contact Information

Primary practice address
1400 75Th St Suite 3 Kenosha WI 53143
Phone: (262) 652-9500
Fax: (262) 652-0760
Website:
Map and Directions
Authorized official contact:
Name: Eldridge, Eugene John Doctor of Medicine (MD)
Phone: (262) 652-9500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25921 Wisconsin

Profile Details

NPI number 1073610242
LBN Legal business name E John Eldridge Md Sc
DBA Doing business as
Authorized official Eldridge, Eugene John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 22nd, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073610242 NPPES
Wisconsin MEDICAID 31384000

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