Edwards, Daniel
Edwards, Daniel is an sole proprietor health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904-2477. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Edwards, Daniel can be contacted via phone (765) 448-8000.Contact Information
Primary practice address
2600 Greenbush St
Lafayette IN 47904-2477
Phone: (765) 448-8000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 57011491 | Ohio |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 01070685A | Indiana |
Profile Details
NPI number | 1821287681 |
---|---|
LBN Legal business name | Edwards, Daniel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 17th, 2007 |
Last updated | Feb 2nd, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821287681 | NPPES |
Indiana | Other | 000000766888 | ANTHEM PROVIDER NUMBER |
Indiana | MEDICAID | 201022560 | ANTHEM PROVIDER NUMBER |
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