Edwards, Phyllis Kathleen
Edwards, Phyllis Kathleen is an individual health care provider with primary practice located at 705 S Court St , Visalia CA 93277-2727. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Edwards, Phyllis Kathleen can be contacted via phone (559) 635-8010.Contact Information
Primary practice address
705 S Court St
Visalia CA 93277-2727
Phone: (559) 635-8010
Fax: (559) 635-1411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 02-031052 | California |
Profile Details
| NPI number | 1750593562 |
|---|---|
| LBN Legal business name | Edwards, Phyllis Kathleen |
| Credentials | CAS II |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1750593562 | NPPES |
| California | Other | 1043346067 | NPI |
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