Eder, Bryan Scott
Eder, Bryan Scott is an sole proprietor health care provider with primary practice located at 71 Maccorkle Ave Sw , South Charleston WV 25303. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Eder, Bryan Scott can be contacted via phone (304) 744-8448.Contact Information
Primary practice address
71 Maccorkle Ave Sw
South Charleston WV 25303
Phone: (304) 744-8448
Fax: (304) 744-4344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | WV2957 | West Virginia |
Profile Details
| NPI number | 1275625964 |
|---|---|
| LBN Legal business name | Eder, Bryan Scott |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1275625964 | NPPES |
| West Virginia | MEDICAID | 0132821000 |
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