Eddlemon, Eugene D.

Eddlemon, Eugene D. is an individual health care provider with primary practice located at 95 Declaration Dr Suite 1, Chico CA 95973-4916. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Eddlemon, Eugene D. can be contacted via phone (530) 345-9455.

Contact Information

Primary practice address
95 Declaration Dr Suite 1 Chico CA 95973-4916
Phone: (530) 345-9455
Fax: (530) 345-6628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G68376 California
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X G68376 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G68376 California

Profile Details

NPI number 1871525477
LBN Legal business name Eddlemon, Eugene D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Apr 27th, 2012 - about 14 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 1871525477 NPPES
California Other G68376 BLUE CROSS/SHIELD, ETC.
California Other P00075271 BLUE CROSS/SHIELD, ETC.
California MEDICAID 00G683761 BLUE CROSS/SHIELD, ETC.
California Other 94-3365249 BLUE CROSS/SHIELD, ETC.

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