Edwards, Andrew Keith

Edwards, Andrew Keith is an individual health care provider with primary practice located at 253 Sagamore Pkwy W , West Lafayette IN 47906-1501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Edwards, Andrew Keith can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
253 Sagamore Pkwy W West Lafayette IN 47906-1501
Phone: (765) 448-8000
Fax: (765) 446-7023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01053185A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01053185A Indiana

Profile Details

NPI number 1093784662
LBN Legal business name Edwards, Andrew Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Dec 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093784662 NPPES
Indiana Other 9397039 PHCS PID NUMBER
Indiana MEDICAID 200239840 PHCS PID NUMBER
Indiana Other 000000759193 PHCS PID NUMBER
Indiana Other 11319869 PHCS PID NUMBER
Indiana Other 000000228927 PHCS PID NUMBER

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