Edmondson, David A

Edmondson, David A is an individual health care provider with primary practice located at 512 S 28Th Ave , Wausau WI 54401-4147. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology. Allopathic & Osteopathic Physicians / Allergy is his primary health care specialty. Edmondson, David A can be contacted via phone (715) 847-2021.

Contact Information

Primary practice address
512 S 28Th Ave Wausau WI 54401-4147
Phone: (715) 847-2021
Fax: (715) 847-2325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 45109 Wisconsin
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 207KI0005X 45109 Wisconsin

Profile Details

NPI number 1124079033
LBN Legal business name Edmondson, David A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Apr 13th, 2020 - about 6 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 1124079033 NPPES
Other 008906261N HUMANA

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