Edwards, James Leroy

Edwards, James Leroy is an sole proprietor health care provider with primary practice located at 515 St Marys Street , Raleigh NC 27605-1774. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Edwards, James Leroy can be contacted via phone (919) 833-4324.

Contact Information

Primary practice address
515 St Marys Street Raleigh NC 27605-1774
Fax: (919) 833-2630
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 166 North Carolina

Profile Details

NPI number 1598854895
LBN Legal business name Edwards, James Leroy
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Aug 13th, 2010 - about 14 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 1598854895 NPPES
Other 42135 COVENTRY HEALTH PLAN WELL
Other 5161534 COVENTRY HEALTH PLAN WELL
Other T64066 COVENTRY HEALTH PLAN WELL
Other 08056 COVENTRY HEALTH PLAN WELL
Other 40502 COVENTRY HEALTH PLAN WELL
MEDICAID 8908056 COVENTRY HEALTH PLAN WELL
Other 259331 COVENTRY HEALTH PLAN WELL
Other 2752356 COVENTRY HEALTH PLAN WELL
Other 95658 COVENTRY HEALTH PLAN WELL

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