Edwards, Mark A
Edwards, Mark A is an individual health care provider with primary practice located at 8240 Naab Road Suite 100, Indianapolis IN 46260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Edwards, Mark A can be contacted via phone (317) 338-7450.Contact Information
Primary practice address
8240 Naab Road Suite 100
Indianapolis IN 46260
Phone: (317) 338-7450
Fax: (317) 338-7457
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01033757A | Indiana |
Profile Details
NPI number | 1669471736 |
---|---|
LBN Legal business name | Edwards, Mark A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 20th, 2005 |
Last updated | Aug 3rd, 2018 - about 6 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 | 1669471736 | NPPES |
Indiana | MEDICAID | 100129200 | |
Indiana | Other | 1009224 |
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