Edwards, Lonnie T

Edwards, Lonnie T is an individual health care provider with primary practice located at 625 N Orange St , Wilmington DE 19801-2296. He recently has only one registered license in Behavioral Health & Social Service Providers / Group Psychotherapy, which is considered as his primary health care specialty. Edwards, Lonnie T can be contacted via phone (302) 656-4044.

Contact Information

Primary practice address
625 N Orange St Wilmington DE 19801-2296
Fax: (302) 656-3439
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X Delaware

Profile Details

NPI number 1467632513
LBN Legal business name Edwards, Lonnie T
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2007
Last updated Nov 6th, 2007 - about 17 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 1467632513 NPPES
Delaware MEDICAID 103TP2701X

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