Edwards, Nelson Grey

Edwards, Nelson Grey is an sole proprietor health care provider with primary practice located at 136 E Grand River Ave , Fowlerville MI 48836-5136. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Edwards, Nelson Grey can be contacted via phone (517) 223-9988.

Contact Information

Primary practice address
136 E Grand River Ave Fowlerville MI 48836-5136
Fax: (517) 223-9071
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003131 Michigan

Profile Details

NPI number 1194804583
LBN Legal business name Edwards, Nelson Grey
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2006
Last updated Oct 7th, 2009 - about 15 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 1194804583 NPPES
Michigan MEDICAID 2770020

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