Easterling, Jessica N B
Easterling, Jessica N B is an individual health care provider with primary practice located at 150 Frankfort Rd Ste 101 , Shelbyville KY 40065-7401. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Easterling, Jessica N B can be contacted via phone (502) 647-5468.Contact Information
Primary practice address
150 Frankfort Rd Ste 101
Shelbyville KY 40065-7401
Phone: (502) 647-5468
Fax: (502) 732-7136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 2080S0010X | 43516 | Kentucky |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 43516 | Kentucky |
Profile Details
| NPI number | 1669656849 |
|---|---|
| LBN Legal business name | Easterling, Jessica N B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2007 |
| Last updated | Feb 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669656849 | NPPES |
| Kentucky | MEDICAID | 7100174360 |
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