Edwards, Sam J
Edwards, Sam J is an sole proprietor health care provider with primary practice located at 1078 Crossroads Mall Ste D , Oklahoma City OK 73149-4202. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Edwards, Sam J can be contacted via phone (405) 631-7558.Contact Information
Primary practice address
1078 Crossroads Mall Ste D
Oklahoma City OK 73149-4202
Phone: (405) 631-7558
Fax: (405) 631-0615
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X |
Profile Details
| NPI number | 1255530754 |
|---|---|
| LBN Legal business name | Edwards, Sam J |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2007 |
| Last updated | Nov 6th, 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 | 1255530754 | NPPES |
| Oklahoma | MEDICAID | 100761320A |
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