Edwards, Bryan W

Edwards, Bryan W is an individual health care provider with primary practice located at 2172 Silver Lake Rd Nw , New Brighton MN 55112-5302. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Edwards, Bryan W can be contacted via phone (651) 633-8110.

Contact Information

Primary practice address
2172 Silver Lake Rd Nw New Brighton MN 55112-5302
Phone: (651) 633-8110
Fax: (651) 633-2831
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4172 Minnesota

Profile Details

NPI number 1144281643
LBN Legal business name Edwards, Bryan W
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2006
Last updated Jul 8th, 2007 - about 19 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 1144281643 NPPES
Minnesota Other 292R6ED BCBS

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