Edwards, Michael J
Edwards, Michael J is an individual health care provider with primary practice located at 10207 Garlanreid Place , Louisville KY 40223. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Edwards, Michael J can be contacted via phone (307) 699-0074.Contact Information
Primary practice address
10207 Garlanreid Place
Louisville KY 40223
Phone: (307) 699-0074
Fax: (513) 584-3020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 22370 | Kentucky |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35.091070 | Ohio |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | E-3646 | Arkansas |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | E-3646 | Arkansas |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 35.091070 | Ohio |
Profile Details
| NPI number | 1952491524 |
|---|---|
| LBN Legal business name | Edwards, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Jan 31st, 2024 - about 10 months 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 | 1952491524 | NPPES |
| Arkansas | MEDICAID | 149591001 |
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