Eason, Phyllis

Eason, Phyllis is an individual health care provider with primary practice located at 100 4Th St S , Fargo ND 58103-1929. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Eason, Phyllis can be contacted via phone (701) 234-3100.

Contact Information

Primary practice address
100 4Th St S Fargo ND 58103-1929
Phone: (701) 234-3100
Fax: (701) 234-3120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 043926 Georgia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 71925 Wisconsin
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2015042689 Missouri
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD61499166 Washington
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X PT12912 North Dakota

Profile Details

NPI number 1174596746
LBN Legal business name Eason, Phyllis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jun 25th, 2024 - about 2 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 1174596746 NPPES
North Dakota MEDICAID 18207
North Dakota MEDICAID 1174596746

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