Edwards, Jamie Lynn

Edwards, Jamie Lynn is an sole proprietor health care provider with primary practice located at 700 Liberty Ln , West Carrollton OH 45449-2135. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Edwards, Jamie Lynn can be contacted via phone (937) 247-2400.

Contact Information

Primary practice address
700 Liberty Ln West Carrollton OH 45449-2135
Phone: (937) 247-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1962779488
LBN Legal business name Edwards, Jamie Lynn
Credentials B.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2011
Last updated Jun 11th, 2020 - about 4 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 1962779488 NPPES
Illinois MEDICAID 1962779488

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