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
Fax: (802) 862-4062
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649394552 NPPES
Vermont MEDICAID 0005380

Popular Providers