Edwards, Bobbi
Edwards, Bobbi is an sole proprietor health care provider with primary practice located at 24901 Northwestern Hwy Suite 214, Southfield MI 48075. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Edwards, Bobbi can be contacted via phone (248) 483-8488.Contact Information
Primary practice address
24901 Northwestern Hwy Suite 214
Southfield MI 48075
Phone: (248) 483-8488
Fax: (248) 483-8489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 4301063204 | Michigan |
Profile Details
| NPI number | 1376556712 |
|---|---|
| LBN Legal business name | Edwards, Bobbi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2006 |
| Last updated | May 31st, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376556712 | NPPES |
| Michigan | Other | 0706339290 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 070016468 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | G80275 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 264628YMPJ | BLUE CROSS BLUE SHIELD |
| Michigan | Other | DG7630 | BLUE CROSS BLUE SHIELD |
| Michigan | MEDICAID | 104308193 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 0F34284 | BLUE CROSS BLUE SHIELD |
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