Mr. Eddie Lynn Paulk
Internist General Practice Physician
2090 Vadalabene Drive
Springfield
, Illinois 62062
Mr. Eddie Lynn Paulk
Internist General Practice Physician
2090 Vadalabene Drive
Springfield
, Illinois 62062
(618) 288-4088
Write a Review Share Save Call
About
Features
Specialties
- Internist
- General Practice Physician
Languages spoken
- English
Location
First Address
- Mr. Eddie Lynn Paulk
- 6810 State Route 162 Box 215
- Maryville, IL
- Zip : 62062-8501
- Fax : (618) 288-4088
- Phone : (618) 391-6405
Second Address
- Mr. Eddie Lynn Paulk
- 2090 Vadalabene Drive
- Springfield, IL
- Zip : 62062
- Fax : (618) 288-6857
- Phone : (618) 288-5403
Reviews
FAQs
Where did Mr. Eddie Lynn Paulk attend graduate school?
Where did Mr. Eddie Lynn Paulk do his residency?
Where did Mr. Eddie Lynn Paulk do his fellowship?
Is Mr. Eddie Lynn Paulk board certified?
What type of doctor is Mr. Eddie Lynn Paulk
In what state does Mr. Eddie Lynn Paulk practice in?
Where is Mr. Eddie Lynn Paulk ’s practice located?
What is Mr. Eddie Lynn Paulk ’s gender?
Is Mr. Eddie Lynn Paulk a sole practitioner?
Is Mr. Eddie Lynn Paulk accepting new patients?
What languages does Mr. Eddie Lynn Paulk speak?
Does Mr. Eddie Lynn Paulk accept insurance?
Does Mr. Eddie Lynn Paulk offers telemedicine?
What is Mr. Eddie Lynn Paulk ’s professional license number?
What is Mr. Eddie Lynn Paulk ’s NPI number?
Does Mr. Eddie Lynn Paulk have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | R9H10 | MO |
| Y | 111NI0900X | Internist | R9H10 | MO |
| N | 208D00000X | General Practice Physician | R9H10 | MO |
National Provider Identifier
| NPI | 1003813601 |
|---|---|
| Provider Name | Mr. Eddie Lynn Paulk |
| First Address | Maryville, IL 62062-8501 |
| Second Address | Springfield, IL 62062 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2005 |
| Last Update Date | 16/04/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 242830743 | (05) | MO |
| E43624 | (02) | |
| E43624 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.