Edwards, James Raynard

Edwards, James Raynard is an individual health care provider with primary practice located at 3201 W. Keiser , Osceola AR 72370-3467. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Edwards, James Raynard can be contacted via phone (870) 622-0592.

Contact Information

Primary practice address
3201 W. Keiser Osceola AR 72370-3467
Phone: (870) 622-0592
Fax: (870) 622-0782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X P2002014 Arkansas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1871849422
LBN Legal business name Edwards, James Raynard
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2012
Last updated Jul 19th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871849422 NPPES
Arkansas MEDICAID 238797719

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