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:
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Health care specialties

SpecialtyCodeLicense #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 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952491524 NPPES
Arkansas MEDICAID 149591001

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