Edlund, James W

Edlund, James W is an individual health care provider with primary practice located at 11104 Parkview Circle Dr Ste 320 , Fort Wayne IN 46845-1733. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Edlund, James W can be contacted via phone (260) 266-5300.

Contact Information

Primary practice address
11104 Parkview Circle Dr Ste 320 Fort Wayne IN 46845-1733
Phone: (260) 266-5300
Fax: (260) 266-5314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X 01029093A Indiana
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 01029093A Indiana
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 01029093A Indiana

Profile Details

NPI number 1144212259
LBN Legal business name Edlund, James W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Oct 11th, 2022 - about 2 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 1144212259 NPPES
Ohio MEDICAID 0437807
Ohio Other 000000595625
Ohio Other 000000614694
Ohio Other 020037714
Ohio MEDICAID 1000095950A
Ohio Other 280001010
Ohio MEDICAID 100095950

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