Edwards, Stanley Owen

Edwards, Stanley Owen is an individual health care provider with primary practice located at 7251 W 20Th St Unit K, Greeley CO 80634-4625. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Other Service Providers / Legal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Edwards, Stanley Owen can be contacted via phone (970) 353-4322.

Contact Information

Primary practice address
7251 W 20Th St Unit K Greeley CO 80634-4625
Fax: (970) 353-0190
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19391 Colorado
Other Service Providers / Legal Medicine 173000000X 19391 Colorado

Profile Details

NPI number 1316907876
LBN Legal business name Edwards, Stanley Owen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Apr 9th, 2008 - about 16 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 1316907876 NPPES
Colorado MEDICAID 01193911
Colorado Other ED30586

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