Edwards, Chad Robert

Edwards, Chad Robert is an sole proprietor health care provider with primary practice located at 314 W Catalpa Dr Suite E, Mishawaka IN 46545-3194. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Edwards, Chad Robert can be contacted via phone (574) 254-1700.

Contact Information

Primary practice address
314 W Catalpa Dr Suite E Mishawaka IN 46545-3194
Fax: (574) 254-2930
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 20042553A Indiana

Profile Details

NPI number 1487924171
LBN Legal business name Edwards, Chad Robert
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2012
Last updated Feb 16th, 2012 - about 13 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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