Edwards, Jonathan D
Edwards, Jonathan D is an sole proprietor health care provider with primary practice located at 212 W Cayuga Dr , Athens TX 75751-3204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Edwards, Jonathan D can be contacted via phone (903) 675-5742.Contact Information
Primary practice address
212 W Cayuga Dr
Athens TX 75751-3204
Phone: (903) 675-5742
Fax: (903) 904-5234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | H9906 | Texas |
Profile Details
| NPI number | 1720097298 |
|---|---|
| LBN Legal business name | Edwards, Jonathan D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jul 7th, 2022 - about 2 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 | 1720097298 | NPPES |
| Texas | MEDICAID | 120530402 |
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