Edwards, James R
Edwards, James R is an sole proprietor health care provider with primary practice located at 2129 16Th St , Bedford IN 47421-3003. He recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Orthopedic, Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist. Chiropractic Providers / Chiropractor is his primary health care specialty. Edwards, James R can be contacted via phone (812) 275-3323.Contact Information
Primary practice address
2129 16Th St
Bedford IN 47421-3003
Phone: (812) 275-3323
Fax: (812) 277-9354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Orthopedic | 111NX0800X | 08000871A | Indiana |
| Chiropractic Providers / Chiropractor | 111N00000X | 871 | Indiana |
| Other Service Providers / Acupuncturist | 171100000X | 81000034A | Indiana |
Profile Details
| NPI number | 1396810032 |
|---|---|
| LBN Legal business name | Edwards, James R |
| Credentials | DC DABCO LAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Nov 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396810032 | NPPES |
| Indiana | Other | 00000085334 | ANTHEM BLUE CROSS BLUE SH |
| Indiana | MEDICAID | 100166180 | ANTHEM BLUE CROSS BLUE SH |
| Indiana | Other | 014356 | ANTHEM BLUE CROSS BLUE SH |
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