Edwards, Jr., Quinton Thomas

Edwards, Jr., Quinton Thomas is an individual health care provider with primary practice located at 707 W University Ave , Muncie IN 47303-3865. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Edwards, Jr., Quinton Thomas can be contacted via phone (765) 254-9343.

Contact Information

Primary practice address
707 W University Ave Muncie IN 47303-3865
Phone: (765) 254-9343
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 20041921A Indiana

Profile Details

NPI number 1982630596
LBN Legal business name Edwards, Jr., Quinton Thomas
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Jul 8th, 2007 - about 18 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 1982630596 NPPES
Indiana Other 20041921A LICENSE #

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