Edwards, Nathan Darrell

Edwards, Nathan Darrell is an sole proprietor health care provider with primary practice located at 1328 E 12Th St , Casper WY 82601-3912. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Edwards, Nathan Darrell can be contacted via phone (307) 237-8713.

Contact Information

Primary practice address
1328 E 12Th St Casper WY 82601-3912
Fax: (307) 237-5740
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 337T Wyoming

Profile Details

NPI number 1730408956
LBN Legal business name Edwards, Nathan Darrell
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2010
Last updated Jan 22nd, 2020 - about 4 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 1730408956 NPPES
Wyoming Other 337T STATE OF WYOMING BOARD OF OPTOMETRY

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