Edwards, Richard
Edwards, Richard is an sole proprietor health care provider with primary practice located at 234 Se Ammons Ave , Madison FL 32340-3091. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Edwards, Richard can be contacted via phone (850) 253-3732.Contact Information
Primary practice address
234 Se Ammons Ave
Madison FL 32340-3091
Phone: (850) 253-3732
Fax: (850) 973-6663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Home Modifications | 171WH0202X | 675539900 | Florida |
Profile Details
| NPI number | 1811313810 |
|---|---|
| LBN Legal business name | Edwards, Richard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2014 |
| Last updated | Mar 14th, 2014 - about 10 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 | 1811313810 | NPPES |
| Florida | MEDICAID | 675539900 |
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