Edwards, Jonathan Charles

Edwards, Jonathan Charles is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-0322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Edwards, Jonathan Charles can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-0322
Phone: (843) 792-1414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 29831 South Carolina
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301071723 Michigan

Profile Details

NPI number 1619066586
LBN Legal business name Edwards, Jonathan Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jan 4th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619066586 NPPES
Michigan MEDICAID 3472391

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