Edge, Justin A
Edge, Justin A is an sole proprietor health care provider with primary practice located at 45 S National Ave , Fond Du Lac WI 54935-4621. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Edge, Justin A can be contacted via phone (920) 923-8588.Contact Information
Primary practice address
45 S National Ave
Fond Du Lac WI 54935-4621
Phone: (920) 923-8588
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1467173880 |
|---|---|
| LBN Legal business name | Edge, Justin A |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2022 |
| Last updated | Sep 5th, 2022 - about 3 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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