Edwards, Sab

Edwards, Sab is an sole proprietor health care provider with primary practice located at 15639 N Verde St , Surprise AZ 85378-4168. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Agencies / Foster Care Agency, Transportation Services / Private Vehicle, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is his primary health care specialty. Edwards, Sab can be contacted via phone (623) 248-4100.

Contact Information

Primary practice address
15639 N Verde St Surprise AZ 85378-4168
Phone: (623) 248-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X SLH10671 Arizona
Agencies / Foster Care Agency 253J00000X SLH10671 Arizona
Transportation Services / Private Vehicle 347C00000X Arizona
Agencies / Community/Behavioral Health 251S00000X SLH10671 Arizona

Profile Details

NPI number 1134803265
LBN Legal business name Edwards, Sab
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2023
Last updated Feb 28th, 2024 - about 10 months 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 1134803265 NPPES
Arizona MEDICAID 132133

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