Edwards, Daniel

Edwards, Daniel is an sole proprietor health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904-2477. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Edwards, Daniel can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Greenbush St Lafayette IN 47904-2477
Phone: (765) 448-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 57011491 Ohio
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 01070685A Indiana

Profile Details

NPI number 1821287681
LBN Legal business name Edwards, Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2007
Last updated Feb 2nd, 2021 - about 5 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 1821287681 NPPES
Indiana Other 000000766888 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 201022560 ANTHEM PROVIDER NUMBER

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