Edgar, Robert Paul

Edgar, Robert Paul is an sole proprietor health care provider with primary practice located at 30204 State Route 3 , Black River NY 13612-2091. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Edgar, Robert Paul can be contacted via phone (315) 773-9012.

Contact Information

Primary practice address
30204 State Route 3 Black River NY 13612-2091
Phone: (315) 773-9012
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 226744-1 New York

Profile Details

NPI number 1235338799
LBN Legal business name Edgar, Robert Paul
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2007
Last updated Jul 15th, 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 1235338799 NPPES
New York MEDICAID 02457972

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