Chisholm, Edward Lee
Chisholm, Edward Lee is an individual health care provider with primary practice located at 4200 Country Day Ln , Fort Worth TX 76109-4201. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Chisholm, Edward Lee can be contacted via phone (817) 302-3200.Contact Information
Primary practice address
4200 Country Day Ln
Fort Worth TX 76109-4201
Phone: (817) 302-3200
Fax: (817) 302-3279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT0929 | Texas |
Profile Details
| NPI number | 1861519258 |
|---|---|
| LBN Legal business name | Chisholm, Edward Lee |
| Credentials | MS, LAT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
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