Edwards, Burt Jeffery

Edwards, Burt Jeffery is an individual health care provider with primary practice located at 11660 Round Lake Blvd Nw , Coon Rapids MN 55433-2638. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Edwards, Burt Jeffery can be contacted via phone (763) 714-3350.

Contact Information

Primary practice address
11660 Round Lake Blvd Nw Coon Rapids MN 55433-2638
Phone: (763) 714-3350
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1265071740
LBN Legal business name Edwards, Burt Jeffery
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2019
Last updated Dec 31st, 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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