Edwards, Bobbi

Edwards, Bobbi is an sole proprietor health care provider with primary practice located at 24901 Northwestern Hwy Suite 214, Southfield MI 48075. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Edwards, Bobbi can be contacted via phone (248) 483-8488.

Contact Information

Primary practice address
24901 Northwestern Hwy Suite 214 Southfield MI 48075
Fax: (248) 483-8489
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301063204 Michigan

Profile Details

NPI number 1376556712
LBN Legal business name Edwards, Bobbi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated May 31st, 2018 - about 6 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 1376556712 NPPES
Michigan Other 0706339290 BLUE CROSS BLUE SHIELD
Michigan Other 070016468 BLUE CROSS BLUE SHIELD
Michigan Other G80275 BLUE CROSS BLUE SHIELD
Michigan Other 264628YMPJ BLUE CROSS BLUE SHIELD
Michigan Other DG7630 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 104308193 BLUE CROSS BLUE SHIELD
Michigan Other 0F34284 BLUE CROSS BLUE SHIELD

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