Edwards, Jeffrey Karl

Edwards, Jeffrey Karl is an individual health care provider with primary practice located at 777 N Raymond St , Boise ID 83704-9251. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Edwards, Jeffrey Karl can be contacted via phone (208) 514-2500.

Contact Information

Primary practice address
777 N Raymond St Boise ID 83704-9251
Phone: (208) 514-2500
Fax: (208) 375-2217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M2312 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M-6059 Idaho

Profile Details

NPI number 1578566253
LBN Legal business name Edwards, Jeffrey Karl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jul 13th, 2016 - about 8 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 1578566253 NPPES
Idaho MEDICAID 1578566253
Idaho MEDICAID 176499501

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