Edge, Colleen D
Edge, Colleen D is an individual health care provider with primary practice located at 8355 Walnut Hill Ln Ste 105 , Dallas TX 75231-4242. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Edge, Colleen D can be contacted via phone (213) 368-3659.Contact Information
Primary practice address
8355 Walnut Hill Ln Ste 105
Dallas TX 75231-4242
Phone: (213) 368-3659
Fax: (214) 739-8923
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2016013259 | Missouri |
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 2016013259 | Missouri |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | R3502 | Texas |
Profile Details
NPI number | 1215379987 |
---|---|
LBN Legal business name | Edge, Colleen D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 23rd, 2013 |
Last updated | Oct 2nd, 2018 - about 6 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 | 1215379987 | NPPES |
Illinois | MEDICAID | ENROLLED |
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