Laurel, Edgardo
Laurel, Edgardo is an individual health care provider with primary practice located at 2545 E Thomas Rd Suite 120, Phoenix AZ 85016-7969. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Laurel, Edgardo can be contacted via phone (602) 419-3637.Contact Information
Primary practice address
2545 E Thomas Rd Suite 120
Phoenix AZ 85016-7969
Phone: (602) 419-3637
Fax: (602) 595-1528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 21887 | Arizona |
Profile Details
| NPI number | 1992708788 |
|---|---|
| LBN Legal business name | Laurel, Edgardo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Jun 1st, 2016 - about 8 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 | 1992708788 | NPPES |
| Arizona | MEDICAID | 151605 |
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