Edwards, Allison Regina

Edwards, Allison Regina is an sole proprietor health care provider with primary practice located at 6409 Crain Hwy , Upper Marlboro MD 20772-4139. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Edwards, Allison Regina can be contacted via phone (301) 952-8614.

Contact Information

Primary practice address
6409 Crain Hwy Upper Marlboro MD 20772-4139
Phone: (301) 952-8614
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0032051 Maryland
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X D0032051 Maryland

Profile Details

NPI number 1194821470
LBN Legal business name Edwards, Allison Regina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Apr 22nd, 2020 - about 4 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 1194821470 NPPES
Maryland MEDICAID 161021000
Maryland MEDICAID 010078200
Maryland Other 3252AR11
Maryland Other 2183

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