Edwards, James R

Edwards, James R is an sole proprietor health care provider with primary practice located at 2129 16Th St , Bedford IN 47421-3003. He recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Orthopedic, Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist. Chiropractic Providers / Chiropractor is his primary health care specialty. Edwards, James R can be contacted via phone (812) 275-3323.

Contact Information

Primary practice address
2129 16Th St Bedford IN 47421-3003
Phone: (812) 275-3323
Fax: (812) 277-9354
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 08000871A Indiana
Chiropractic Providers / Chiropractor 111N00000X 871 Indiana
Other Service Providers / Acupuncturist 171100000X 81000034A Indiana

Profile Details

NPI number 1396810032
LBN Legal business name Edwards, James R
Credentials DC DABCO LAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2006
Last updated Nov 12th, 2019 - about 5 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 1396810032 NPPES
Indiana Other 00000085334 ANTHEM BLUE CROSS BLUE SH
Indiana MEDICAID 100166180 ANTHEM BLUE CROSS BLUE SH
Indiana Other 014356 ANTHEM BLUE CROSS BLUE SH

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