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
Fax: (317) 338-7457
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669471736 NPPES
Indiana MEDICAID 100129200
Indiana Other 1009224

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