Edwards, Chrispen

Edwards, Chrispen is an sole proprietor health care provider with primary practice located at 862 S Main St Ste 4, Brigham City UT 84302-3320. He recently has only one registered license in Agencies / Foster Care Agency, which is considered as his primary health care specialty. Edwards, Chrispen can be contacted via phone (435) 723-1799.

Contact Information

Primary practice address
862 S Main St Ste 4 Brigham City UT 84302-3320
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Foster Care Agency 253J00000X

Profile Details

NPI number 1881964922
LBN Legal business name Edwards, Chrispen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2012
Last updated Jan 6th, 2012 - about 12 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 1881964922 NPPES
Utah MEDICAID 61-1292060

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