Edwards, Amy S

Edwards, Amy S is an sole proprietor health care provider with primary practice located at 1636 S Lake Crest Way , Eagle ID 83616-7142. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Edwards, Amy S can be contacted via phone (208) 939-9131.

Contact Information

Primary practice address
1636 S Lake Crest Way Eagle ID 83616-7142
Phone: (208) 939-9131
Fax: (208) 345-1890
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X M-11410 Idaho
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD00048140 Washington

Profile Details

NPI number 1881688810
LBN Legal business name Edwards, Amy S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2005
Last updated Mar 7th, 2024 - about 2 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 1881688810 NPPES
Washington MEDICAID 8484347

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