Edwards, Michael Scott
Edwards, Michael Scott is an sole proprietor health care provider with primary practice located at Michael Edwards 1452 Atlanta Dr, Holly Hill FL 32117. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Edwards, Michael Scott can be contacted via phone (386) 274-8089.Contact Information
Primary practice address
Michael Edwards 1452 Atlanta Dr
Holly Hill FL 32117
Phone: (386) 274-8089
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1780300871 |
|---|---|
| LBN Legal business name | Edwards, Michael Scott |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2022 |
| Last updated | Oct 19th, 2022 - about 2 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 | 1780300871 | NPPES |
| Florida | MEDICAID | 8004653202 |
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