Edelman, Steven R

Edelman, Steven R is an sole proprietor health care provider with primary practice located at 907 Hay St Ste 203 , Fayetteville NC 28305-5352. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Edelman, Steven R can be contacted via phone (910) 826-3694.

Contact Information

Primary practice address
907 Hay St Ste 203 Fayetteville NC 28305-5352
Fax: (910) 486-1590
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 364 North Carolina

Profile Details

NPI number 1184750655
LBN Legal business name Edelman, Steven R
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Feb 7th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184750655 NPPES
North Carolina MEDICAID 6107011

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