Powell, Edward D

Powell, Edward D is an individual health care provider with primary practice located at 380 W Chestnut St Ste 101 , Washington PA 15301-4658. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Powell, Edward D can be contacted via phone (724) 228-1414.

Contact Information

Primary practice address
380 W Chestnut St Ste 101 Washington PA 15301-4658
Fax: (724) 228-8579
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA000702L Pennsylvania

Profile Details

NPI number 1225010697
LBN Legal business name Powell, Edward D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jun 13th, 2017 - about 7 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 1225010697 NPPES
Pennsylvania MEDICAID 103191740

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