Edgeworth, Jimmy

Edgeworth, Jimmy is an individual health care provider with primary practice located at 1117 S Grant St , Stockton CA 95206-1626. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Edgeworth, Jimmy can be contacted via phone (209) 461-6500.

Contact Information

Primary practice address
1117 S Grant St Stockton CA 95206-1626
Phone: (209) 461-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1790908671
LBN Legal business name Edgeworth, Jimmy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jul 8th, 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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