Edison, Megan Marie

Edison, Megan Marie is an individual health care provider with primary practice located at 1200 56Th St Sw C/O Brookville Pediatric & Internal Medicine, Pc, Wyoming MI 49509-9704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Edison, Megan Marie can be contacted via phone (616) 243-5707.

Contact Information

Primary practice address
1200 56Th St Sw C/O Brookville Pediatric & Internal Medicine, Pc Wyoming MI 49509-9704
Phone: (616) 243-5707
Fax: (616) 243-1170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301086893 Michigan

Profile Details

NPI number 1780657478
LBN Legal business name Edison, Megan Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2006
Last updated Dec 17th, 2007 - about 19 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 1780657478 NPPES
Michigan Other 11108809 CAQH #

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