Eddinger, Jonathan J

Eddinger, Jonathan J is an individual health care provider with primary practice located at 144 State St , Portland ME 04101-3776. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Eddinger, Jonathan J can be contacted via phone (207) 879-3770.

Contact Information

Primary practice address
144 State St Portland ME 04101-3776
Phone: (207) 879-3770
Fax: (207) 879-3940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 13039 New Hampshire
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 016548 Maine

Profile Details

NPI number 1538192463
LBN Legal business name Eddinger, Jonathan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Apr 9th, 2021 - about 5 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 1538192463 NPPES
Maine MEDICAID 432264799
Maine MEDICAID 30206040

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