Eagleson, Joshua

Eagleson, Joshua is an individual health care provider with primary practice located at 515 Bayou St , Vincennes IN 47591-1034. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Eagleson, Joshua can be contacted via phone (812) 886-6800.

Contact Information

Primary practice address
515 Bayou St Vincennes IN 47591-1034
Fax: (812) 886-6809
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71006302A Indiana

Profile Details

NPI number 1184073249
LBN Legal business name Eagleson, Joshua
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2016
Last updated Jul 21st, 2022 - about 4 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 1184073249 NPPES
Indiana MEDICAID 201363680

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