Edwards, Nathan Darrell
Edwards, Nathan Darrell is an sole proprietor health care provider with primary practice located at 1328 E 12Th St , Casper WY 82601-3912. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Edwards, Nathan Darrell can be contacted via phone (307) 237-8713.Contact Information
Primary practice address
1328 E 12Th St
Casper WY 82601-3912
Phone: (307) 237-8713
Fax: (307) 237-5740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 337T | Wyoming |
Profile Details
| NPI number | 1730408956 |
|---|---|
| LBN Legal business name | Edwards, Nathan Darrell |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2010 |
| Last updated | Jan 22nd, 2020 - about 6 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 | 1730408956 | NPPES |
| Wyoming | Other | 337T | STATE OF WYOMING BOARD OF OPTOMETRY |
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