Edwards, John Ray
Edwards, John Ray is an sole proprietor health care provider with primary practice located at 118 Pine St , Burlington VT 05401-8421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Edwards, John Ray can be contacted via phone (802) 658-2767.Contact Information
Primary practice address
118 Pine St
Burlington VT 05401-8421
Phone: (802) 658-2767
Fax: (802) 862-4062
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 042-0005157 | Vermont |
Profile Details
NPI number | 1649394552 |
---|---|
LBN Legal business name | Edwards, John Ray |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 17th, 2007 |
Last updated | Apr 10th, 2010 - about 14 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 | 1649394552 | NPPES |
Vermont | MEDICAID | 0005380 |
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