Edwards, Kristin
Edwards, Kristin is an sole proprietor health care provider with primary practice located at 100 W Rosedale St , Fort Worth TX 76104-4852. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Edwards, Kristin can be contacted via phone (888) 776-0556.Contact Information
Primary practice address
100 W Rosedale St
Fort Worth TX 76104-4852
Phone: (888) 776-0556
Fax: (817) 338-4450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X | ATP12883 | Texas |
Profile Details
| NPI number | 1659665776 |
|---|---|
| LBN Legal business name | Edwards, Kristin |
| Credentials | ATP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2011 |
| Last updated | Jul 22nd, 2013 - about 11 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 | 1659665776 | NPPES |
| Texas | MEDICAID | 281021010 |
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