Gwin, Edward
Gwin, Edward is an sole proprietor health care provider with primary practice located at 1342 E Primrose St , Springfield MO 65804-4279. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Gwin, Edward can be contacted via phone (417) 886-2747.Contact Information
Primary practice address
1342 E Primrose St
Springfield MO 65804-4279
Phone: (417) 886-2747
Fax: (417) 886-2774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | R5222 | Missouri |
Profile Details
| NPI number | 1871532283 |
|---|---|
| LBN Legal business name | Gwin, Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Nov 12th, 2007 - about 17 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 | 1871532283 | NPPES |
| Other | 107065 | BLUE CROSS/BLUE SHIELD | |
| MEDICAID | 200404507 | BLUE CROSS/BLUE SHIELD |
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