Edwards, Scott Andrew

Edwards, Scott Andrew is an sole proprietor health care provider with primary practice located at 1216 W Jefferson St , Kokomo IN 46901-4341. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Edwards, Scott Andrew can be contacted via phone (765) 854-6010.

Contact Information

Primary practice address
1216 W Jefferson St Kokomo IN 46901-4341
Phone: (765) 854-6010
Fax: (765) 854-6011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041730A Indiana

Profile Details

NPI number 1538170188
LBN Legal business name Edwards, Scott Andrew
Credentials PHD HSPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2006
Last updated Dec 8th, 2010 - about 14 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 1538170188 NPPES
Other 064306000 MAGELLAN
MEDICAID 200365990 MAGELLAN
Other 000000507244 MAGELLAN

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