Edwards, Thomas R

Edwards, Thomas R is an individual health care provider with primary practice located at 1527 Broadway St , Alexandria MN 56308-2537. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Edwards, Thomas R can be contacted via phone (320) 762-0399.

Contact Information

Primary practice address
1527 Broadway St Alexandria MN 56308-2537
Phone: (320) 762-0399
Fax: (320) 762-6847
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 20794 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20794 Minnesota

Profile Details

NPI number 1326019159
LBN Legal business name Edwards, Thomas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Mar 20th, 2019 - about 6 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 1326019159 NPPES
Minnesota Other HP22543 HEALTHPARTNERS
Minnesota Other 080014086 HEALTHPARTNERS
Minnesota MEDICAID 634287600 HEALTHPARTNERS
Minnesota Other P00264010 HEALTHPARTNERS
Minnesota Other 176P3ED HEALTHPARTNERS

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