Eagon, Elizabeth E

Eagon, Elizabeth E is an individual health care provider with primary practice located at 787 Weatherly Dr Suite 200, Clarksville TN 37043-8949. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Eagon, Elizabeth E can be contacted via phone (931) 647-1255.

Contact Information

Primary practice address
787 Weatherly Dr Suite 200 Clarksville TN 37043-8949
Phone: (931) 647-1255
Fax: (931) 647-2399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A0000001259 Tennessee

Profile Details

NPI number 1114219193
LBN Legal business name Eagon, Elizabeth E
Credentials MA, CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2011
Last updated May 10th, 2017 - about 9 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 1114219193 NPPES
Tennessee MEDICAID 1525013
Tennessee Other 6091991

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