Contreras, Edwin A
Contreras, Edwin A is an individual health care provider with primary practice located at 4000 24Th St , Lubbock TX 79410-1894. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Contreras, Edwin A can be contacted via phone (806) 725-4251.Contact Information
Primary practice address
4000 24Th St
Lubbock TX 79410-1894
Phone: (806) 725-4251
Fax: (806) 799-6908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | F5874 | Texas |
Profile Details
| NPI number | 1710960505 |
|---|---|
| LBN Legal business name | Contreras, Edwin A |
| Credentials | M.D PA. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2005 |
| Last updated | Jul 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710960505 | NPPES |
| New Mexico | MEDICAID | V7612 |
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