Edge, Johnathon Curtis

Edge, Johnathon Curtis is an individual health care provider with primary practice located at 2200 E Parrish Ave Bldg E Suite 205, Owensboro KY 42303-1449. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Edge, Johnathon Curtis can be contacted via phone (270) 852-1645.

Contact Information

Primary practice address
2200 E Parrish Ave Bldg E Suite 205 Owensboro KY 42303-1449
Phone: (270) 852-1645
Fax: (270) 852-1646
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 39536 Kentucky

Profile Details

NPI number 1114969201
LBN Legal business name Edge, Johnathon Curtis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Mar 27th, 2010 - about 15 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 1114969201 NPPES
Kentucky Other 000000489532 ANTHEM
Kentucky MEDICAID 64127699 ANTHEM

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