Eason, Carl P.

Eason, Carl P. is an individual health care provider with primary practice located at 395 W Main St , Lake Butler FL 32054-1642. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Eason, Carl P. can be contacted via phone (386) 496-3211.

Contact Information

Primary practice address
395 W Main St Lake Butler FL 32054-1642
Phone: (386) 496-3211
Fax: (386) 496-1599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME53187 Florida

Profile Details

NPI number 1619062585
LBN Legal business name Eason, Carl P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Feb 17th, 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 1619062585 NPPES
Florida MEDICAID 048070301

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