Edwards, Scott Brian
Edwards, Scott Brian is an sole proprietor health care provider with primary practice located at 50680 Pheasant Cove Dr , Granger IN 46530-7583. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Edwards, Scott Brian can be contacted via phone (574) 273-9947.Contact Information
Primary practice address
50680 Pheasant Cove Dr
Granger IN 46530-7583
Phone: (574) 273-9947
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 01034800A | Indiana |
Profile Details
| NPI number | 1114220589 |
|---|---|
| LBN Legal business name | Edwards, Scott Brian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2010 |
| Last updated | Apr 25th, 2014 - about 11 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 | 1114220589 | NPPES |
| Indiana | MEDICAID | 201011070 |
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