Verner, Edwina
Verner, Edwina is an individual health care provider with primary practice located at 86 S Harrison St , East Orange NJ 07018-1704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Verner, Edwina can be contacted via phone (973) 414-1886.Contact Information
Primary practice address
86 S Harrison St
East Orange NJ 07018-1704
Phone: (973) 414-1886
Fax: (973) 674-6134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 25MA03802100 | New Jersey |
Profile Details
| NPI number | 1457303919 |
|---|---|
| LBN Legal business name | Verner, Edwina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jun 3rd, 2008 - about 16 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 | 1457303919 | NPPES |
| New Jersey | Other | 1194996645 | 444 WILLIAM STREET |
| New Jersey | Other | 1740345693 | 444 WILLIAM STREET |
| New Jersey | Other | 1932370483 | 444 WILLIAM STREET |
| New Jersey | MEDICAID | 1479407 | 444 WILLIAM STREET |
| New Jersey | Other | 15484310901 | 444 WILLIAM STREET |
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