Edwards, Melody Ann
Edwards, Melody Ann is an sole proprietor health care provider with primary practice located at 25 14Th Ave S , Nampa ID 83651-4394. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Edwards, Melody Ann can be contacted via phone (208) 465-1890.Contact Information
Primary practice address
25 14Th Ave S
Nampa ID 83651-4394
Phone: (208) 465-1890
Fax: (208) 467-9131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-695 | Idaho |
Profile Details
| NPI number | 1548396732 |
|---|---|
| LBN Legal business name | Edwards, Melody Ann |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2007 |
| Last updated | Apr 16th, 2010 - about 16 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 | 1548396732 | NPPES |
| Idaho | MEDICAID | 000922000 |
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