Edwards, Mary
Edwards, Mary is an individual health care provider with primary practice located at 1 Medical Center Drive , Morgantown WV 26506. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Edwards, Mary can be contacted via phone (304) 598-4032.Contact Information
Primary practice address
1 Medical Center Drive
Morgantown WV 26506
Phone: (304) 598-4032
Fax: (304) 598-4143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1098 | West Virginia |
Profile Details
| NPI number | 1225281637 |
|---|---|
| LBN Legal business name | Edwards, Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2008 |
| Last updated | Nov 4th, 2008 - about 18 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 | 1225281637 | NPPES |
| West Virginia | Other | 1098 | STATE LICENSE |
| West Virginia | MEDICAID | 3810009152 | STATE LICENSE |
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