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:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194821470 | NPPES |
| Maryland | MEDICAID | 161021000 | |
| Maryland | MEDICAID | 010078200 | |
| Maryland | Other | 3252AR11 | |
| Maryland | Other | 2183 |
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