Eaton, Wendy D

Eaton, Wendy D is an individual health care provider with primary practice located at 2150 N Ocoee St , Cleveland TN 37311-3936. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, which is considered as her primary health care specialty. Eaton, Wendy D can be contacted via phone (423) 559-0013.

Contact Information

Primary practice address
2150 N Ocoee St Cleveland TN 37311-3936
Phone: (423) 559-0013
Fax: (423) 559-2442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X CFTS1106

Profile Details

NPI number 1073815999
LBN Legal business name Eaton, Wendy D
Credentials CFTS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2010
Last updated Nov 29th, 2010 - about 16 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 1073815999 NPPES
Tennessee MEDICAID 1507472
Tennessee MEDICAID 000973794E
Tennessee MEDICAID 1455062
Tennessee MEDICAID 000973794C
Tennessee MEDICAID 000973794D

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