Edwards, Michael Earnest

Edwards, Michael Earnest is an sole proprietor health care provider with primary practice located at 499 Gloster Creek Vlg Suite G1, Tupelo MS 38801-4600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Edwards, Michael Earnest can be contacted via phone (662) 841-7880.

Contact Information

Primary practice address
499 Gloster Creek Vlg Suite G1 Tupelo MS 38801-4600
Phone: (662) 841-7880
Fax: (662) 821-1899
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 18382 Mississippi
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 00012287 Alabama
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD0000019591 Tennessee

Profile Details

NPI number 1902828064
LBN Legal business name Edwards, Michael Earnest
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Jul 8th, 2007 - about 19 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 1902828064 NPPES
Mississippi MEDICAID 00123835

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