Eason, John Michael

Eason, John Michael is an individual health care provider with primary practice located at 200 Medical Village Dr , Edgewood KY 41017-3408. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Eason, John Michael can be contacted via phone (859) 301-5901.

Contact Information

Primary practice address
200 Medical Village Dr Edgewood KY 41017-3408
Phone: (859) 301-5901
Fax: (859) 301-5940
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 3196 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3196 Kentucky

Profile Details

NPI number 1720459480
LBN Legal business name Eason, John Michael
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2015
Last updated Apr 27th, 2016 - 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 1720459480 NPPES
Kentucky MEDICAID 7100374360
Kentucky MEDICAID 0155189

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