Ward, Eric Vaughn
Ward, Eric Vaughn is an individual health care provider with primary practice located at 2950 Senna Dr , Matthews NC 28105-6722. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Ward, Eric Vaughn can be contacted via phone (704) 845-2920.Contact Information
Primary practice address
2950 Senna Dr
Matthews NC 28105-6722
Phone: (704) 845-2920
Fax: (704) 845-2921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 259 | North Carolina |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 259 | North Carolina |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 259 | North Carolina |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 259 | North Carolina |
Profile Details
| NPI number | 1154332815 |
|---|---|
| LBN Legal business name | Ward, Eric Vaughn |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Aug 10th, 2022 - about 4 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 | 1154332815 | NPPES |
| North Carolina | Other | 012J7 | BCBS |
| North Carolina | MEDICAID | NPD259 | BCBS |
| North Carolina | Other | 6712460028 | BCBS |
| North Carolina | MEDICAID | 890915G | BCBS |
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