Irby, Eric

Irby, Eric is an individual health care provider with primary practice located at 859 Ector Chase Nw , Kennesaw GA 30152-4788. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Irby, Eric can be contacted via phone (770) 614-4177.

Contact Information

Primary practice address
859 Ector Chase Nw Kennesaw GA 30152-4788
Phone: (770) 614-4177
Fax: (770) 427-6396
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X CSA 2852 CERTIFICATE Georgia

Profile Details

NPI number 1053463174
LBN Legal business name Irby, Eric
Credentials CERT. FIRST ASSIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 18 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 1053463174 NPPES
Georgia Other 582625656 TAX ID

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