Staat, Edwin Paul
Staat, Edwin Paul is an individual health care provider with primary practice located at 513 Madison Ave , Covington KY 41011-1562. He recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Staat, Edwin Paul can be contacted via phone (859) 331-3292.Contact Information
Primary practice address
513 Madison Ave
Covington KY 41011-1562
Phone: (859) 331-3292
Fax: (859) 578-2864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | P3831 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | P3003831 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 16864-NP | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | P3831 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3003831 | Kentucky |
Profile Details
| NPI number | 1275558934 |
|---|---|
| LBN Legal business name | Staat, Edwin Paul |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Feb 14th, 2020 - about 6 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 | 1275558934 | NPPES |
| Kentucky | Other | 610661458 | TAX ID |
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