Edwards, John W

Edwards, John W is an individual health care provider with primary practice located at 112 N Madison Ave , Pasadena CA 91101-1710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Edwards, John W can be contacted via phone (626) 796-8102.

Contact Information

Primary practice address
112 N Madison Ave Pasadena CA 91101-1710
Phone: (626) 796-8102
Fax: (626) 796-8060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X A21138 California

Profile Details

NPI number 1417905639
LBN Legal business name Edwards, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Feb 17th, 2009 - about 15 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 1417905639 NPPES
California Other W5818 GROUP PTAN
California Other 340004150 GROUP PTAN

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