Edwards, John Anderson
Edwards, John Anderson is an individual health care provider with primary practice located at 130 2Nd St , Neenah WI 54956-2883. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Edwards, John Anderson can be contacted via phone (920) 969-7900.Contact Information
Primary practice address
130 2Nd St
Neenah WI 54956-2883
Phone: (920) 969-7900
Fax: (920) 969-7979
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 38917-020 | Wisconsin |
Profile Details
NPI number | 1497787048 |
---|---|
LBN Legal business name | Edwards, John Anderson |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 6th, 2006 |
Last updated | Jan 10th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497787048 | NPPES |
Wisconsin | MEDICAID | 1497787048 |
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