Edwards, Stephen Blaine
Edwards, Stephen Blaine is an individual health care provider with primary practice located at 3525 Loma Vista Rd Ste C , Ventura CA 93003-3165. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Edwards, Stephen Blaine can be contacted via phone (805) 652-6955.Contact Information
Primary practice address
3525 Loma Vista Rd Ste C
Ventura CA 93003-3165
Phone: (805) 652-6955
Fax: (805) 652-6959
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT 22601 | California |
Profile Details
NPI number | 1508971169 |
---|---|
LBN Legal business name | Edwards, Stephen Blaine |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 21st, 2006 |
Last updated | Oct 1st, 2022 - about 3 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 | 1508971169 | NPPES |
California | Other | 22601 | STATE LICENSE |
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