Edgar, James W

Edgar, James W is an sole proprietor health care provider with primary practice located at 17 Farragut Ave , Colorado Springs CO 80909-5686. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Edgar, James W can be contacted via phone (719) 636-2122.

Contact Information

Primary practice address
17 Farragut Ave Colorado Springs CO 80909-5686
Phone: (719) 636-2122
Fax: (719) 636-1116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT 588 Colorado

Profile Details

NPI number 1841319951
LBN Legal business name Edgar, James W
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2007
Last updated Jul 9th, 2007 - about 18 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 1841319951 NPPES
Colorado MEDICAID 90531256

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