Edelen, George Roger
Edelen, George Roger is an sole proprietor health care provider with primary practice located at 1653 E Mcmurray Blvd Suite 144, Casa Grande AZ 85122-5934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Edelen, George Roger can be contacted via phone (520) 836-8644.Contact Information
Primary practice address
1653 E Mcmurray Blvd Suite 144
Casa Grande AZ 85122-5934
Phone: (520) 836-8644
Fax: (520) 836-2499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 30267 | Arizona |
Profile Details
| NPI number | 1114960887 |
|---|---|
| LBN Legal business name | Edelen, George Roger |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1114960887 | NPPES |
| Arizona | MEDICAID | 707698 |
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