Wadsworth, Edie

Wadsworth, Edie is an individual health care provider with primary practice located at 420 W Morris Blvd Healthstar Physicians Ste 400G, Morristown TN 37813-2283. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wadsworth, Edie can be contacted via phone (423) 586-2410.

Contact Information

Primary practice address
420 W Morris Blvd Healthstar Physicians Ste 400G Morristown TN 37813-2283
Fax: (423) 581-9692
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD34074 Tennessee

Profile Details

NPI number 1750331450
LBN Legal business name Wadsworth, Edie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750331450 NPPES
Tennessee MEDICAID 3861633

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