Edmondson, Guy Mitchell

Edmondson, Guy Mitchell is an individual health care provider with primary practice located at 310 Mullet Run , Milford DE 19963-5371. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Edmondson, Guy Mitchell can be contacted via phone (302) 424-0600.

Contact Information

Primary practice address
310 Mullet Run Milford DE 19963-5371
Phone: (302) 424-0600
Fax: (302) 422-6214
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C10004097 Delaware

Profile Details

NPI number 1871577288
LBN Legal business name Edmondson, Guy Mitchell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Feb 20th, 2019 - about 7 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 1871577288 NPPES
Delaware MEDICAID 0000985902
Delaware MEDICAID 200108213

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