Edwards, Larry Wayne

Edwards, Larry Wayne is an sole proprietor health care provider with primary practice located at 1022 E Main St , Benton Harbor MI 49022-3036. He recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as his primary health care specialty. Edwards, Larry Wayne can be contacted via phone (269) 926-0015.

Contact Information

Primary practice address
1022 E Main St Benton Harbor MI 49022-3036
Phone: (269) 926-0015
Fax: (269) 926-0123
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1184375016
LBN Legal business name Edwards, Larry Wayne
Credentials BS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2022
Last updated Jan 12th, 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.

Request for update

Popular Providers