Edmond, Elizabeth W

Edmond, Elizabeth W is an individual health care provider with primary practice located at 4700 Schaefer Rd , Dearborn MI 48126-3698. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Edmond, Elizabeth W can be contacted via phone (313) 581-2600.

Contact Information

Primary practice address
4700 Schaefer Rd Dearborn MI 48126-3698
Phone: (313) 581-2600
Fax: (313) 581-0228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X EE028998 Michigan

Profile Details

NPI number 1780643643
LBN Legal business name Edmond, Elizabeth W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Feb 22nd, 2012 - about 12 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 1780643643 NPPES
Michigan MEDICAID 1957974
Michigan Other 250H222820

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