Wilkins, Edward T

Wilkins, Edward T is an sole proprietor health care provider with primary practice located at 719 E New Haven Ave , Melbourne FL 32901-5459. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Wilkins, Edward T can be contacted via phone (321) 726-4024.

Contact Information

Primary practice address
719 E New Haven Ave Melbourne FL 32901-5459
Phone: (321) 726-4024
Fax: (321) 984-9547
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN326069L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2511 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9215859 Florida
Nursing Service Providers / Registered Nurse 163W00000X RN326069L Pennsylvania

Profile Details

NPI number 1265473078
LBN Legal business name Wilkins, Edward T
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2006
Last updated May 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265473078 NPPES
Pennsylvania MEDICAID 44192443603
Pennsylvania MEDICAID 306717300

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