Stallworth, Edwina
Stallworth, Edwina is an individual health care provider with primary practice located at 19853 Outer Dr Ste 110 , Dearborn MI 48124-2044. She recently has only one registered license in Eye and Vision Services Providers / Technician/Technologist, which is considered as her primary health care specialty. Stallworth, Edwina can be contacted via phone (313) 406-5056.Contact Information
Primary practice address
19853 Outer Dr Ste 110
Dearborn MI 48124-2044
Phone: (313) 406-5056
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Technician/Technologist | 156F00000X |
Profile Details
| NPI number | 1962007344 |
|---|---|
| LBN Legal business name | Stallworth, Edwina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2020 |
| Last updated | Oct 5th, 2023 - about last year |
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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