Edmondson, James W

Edmondson, James W is an individual health care provider with primary practice located at 100 Hospital Ln Suite 205, Indianapolis IN 46202-5112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Edmondson, James W can be contacted via phone (317) 745-7445.

Contact Information

Primary practice address
100 Hospital Ln Suite 205 Indianapolis IN 46202-5112
Phone: (317) 745-7445
Fax: (317) 745-7449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 01022719 Indiana

Profile Details

NPI number 1831154863
LBN Legal business name Edmondson, James W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Mar 4th, 2021 - about 4 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 1831154863 NPPES
Indiana MEDICAID 100277890

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