Edmond, James Edward

Edmond, James Edward is an sole proprietor health care provider with primary practice located at 287 E Hunt Hwy Suite 105, San Tan Valley AZ 85143-5095. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Edmond, James Edward can be contacted via phone (480) 677-8282.

Contact Information

Primary practice address
287 E Hunt Hwy Suite 105 San Tan Valley AZ 85143-5095
Phone: (480) 677-8282
Fax: (480) 677-8283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 11580 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 6653 Arizona

Profile Details

NPI number 1477961225
LBN Legal business name Edmond, James Edward
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2014
Last updated Apr 5th, 2017 - about 9 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 1477961225 NPPES
Minnesota Other 1059048 NCCPA

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