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
Phone: (919) 833-4324
Fax: (919) 833-2630
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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