Wanda Eubank is a Clinical in Bowling Green, Kentucky. Wanda Eubank practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wanda Eubank is 1790734556. The last update date is 2017-12-15.
Wanda Eubank's current location address is 380 Suwannee Trail St, Bowling Green, Kentucky. You can contact this provider via phone number 2709015000 and fax number 2708425268. The mailing address for Wanda Eubank is 380 Suwannee Trail St, Bowling Green, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wanda Eubank |
|---|---|
| Address | 380 Suwannee Trail St, Bowling Green, Kentucky |
| Phone Number | 2709015000 |
| Fax Number | 2708425268 |
| Sole Proprietor | N |
| Credentials | LCSW, RN |
NPI Number Detail
| NPI Number | 1790734556 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2017-12-15 |
Provider Mailing Address Detail
| Address | 380 Suwannee Trail St |
|---|---|
| City | Bowling Green |
| State | Kentucky (KY) |
| Post Code | 421037956 |
| Phone Number | 2709015000 |
| Fax Number | 2708425268 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1869 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100287840 | KY | -- |
Post Comment/ Review Below
What is the Wanda Eubank's unique identification number?
The Wanda Eubank has been assigned the NPI (National Provider Identifier) Number 1790734556 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Wanda Eubank's facilities are geographically located?
The facilities of Wanda Eubank are physically situated at the following location: 380 Suwannee Trail St, Bowling Green, KY, 421037956.
What is Wanda Eubank's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wanda Eubank is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date was the 1790734556 assigned to Wanda Eubank?
The Wanda Eubank was issued its 1790734556 on 2006-05-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Wanda Eubank most recently updated?
The details pertaining to the Wanda Eubank, including its address, specialty, and other relevant information, were last refreshed on 2017-12-15.
NPI Number: 1730182858
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