Edwards, Jeffrey A

Edwards, Jeffrey A is an sole proprietor health care provider with primary practice located at 926 15Th Ave , East Moline IL 61244-2138. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Edwards, Jeffrey A can be contacted via phone (309) 752-9740.

Contact Information

Primary practice address
926 15Th Ave East Moline IL 61244-2138
Phone: (309) 752-9740
Fax: (309) 752-9744
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X A-8601-0002-A Illinois
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X A-8601-0001-A Illinois

Profile Details

NPI number 1376731000
LBN Legal business name Edwards, Jeffrey A
Credentials MDIV, CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2007
Last updated Jan 24th, 2011 - about 13 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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