Cardinal, Edward C
Cardinal, Edward C is an sole proprietor health care provider with primary practice located at 405 Arrowhead Blvd Suite C, Jonesboro GA 30236-1254. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Cardinal, Edward C can be contacted via phone (770) 478-9877.Contact Information
Primary practice address
405 Arrowhead Blvd Suite C
Jonesboro GA 30236-1254
Phone: (770) 478-9877
Fax: (770) 478-2908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 1452 | Georgia |
Profile Details
| NPI number | 1205937810 |
|---|---|
| LBN Legal business name | Cardinal, Edward C |
| Credentials | Associate of Arts (AA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2006 |
| Last updated | May 23rd, 2008 - about 16 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 | 1205937810 | NPPES |
| Georgia | MEDICAID | 857430290A |
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