Edwards, Carrie

Edwards, Carrie is an individual health care provider with primary practice located at 575 N Kellogg St Ste 4 , Galesburg IL 61401-7609. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Edwards, Carrie can be contacted via phone (309) 343-0800.

Contact Information

Primary practice address
575 N Kellogg St Ste 4 Galesburg IL 61401-7609
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 1853471 Illinois

Profile Details

NPI number 1801531645
LBN Legal business name Edwards, Carrie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2022
Last updated May 4th, 2022 - about 3 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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