Edwards, Eric E

Edwards, Eric E is an individual health care provider with primary practice located at 401 Railroad St W , Missoula MT 59802-4109. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Edwards, Eric E can be contacted via phone (406) 258-4789.

Contact Information

Primary practice address
401 Railroad St W Missoula MT 59802-4109
Phone: (406) 258-4789
Fax: (406) 258-4732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 38495 Montana

Profile Details

NPI number 1982672655
LBN Legal business name Edwards, Eric E
Credentials RN MSN FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jan 17th, 2014 - about 12 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 1982672655 NPPES
Indiana Other 000000384684 ANTHEM
Indiana MEDICAID 200202960A ANTHEM
Indiana MEDICAID 19822672655 ANTHEM

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