Edwards Iii, Fred

Edwards Iii, Fred is an individual health care provider with primary practice located at 23343 W Ashleigh Marie Dr , Buckeye AZ 85326-6290. He recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as his primary health care specialty. Edwards Iii, Fred can be contacted via phone (619) 871-4401.

Contact Information

Primary practice address
23343 W Ashleigh Marie Dr Buckeye AZ 85326-6290
Phone: (619) 871-4401
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X 10294 Arizona

Profile Details

NPI number 1285788018
LBN Legal business name Edwards Iii, Fred
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 9th, 2007 - about 17 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 1285788018 NPPES
Arizona MEDICAID 964058

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