Edwards, Patricia

Edwards, Patricia is an sole proprietor health care provider with primary practice located at 217 N Madison St , Green Bay WI 54301-5103. She recently has only one registered license in Agencies / In Home Supportive Care, which is considered as her primary health care specialty. Edwards, Patricia can be contacted via phone (920) 492-0100.

Contact Information

Primary practice address
217 N Madison St Green Bay WI 54301-5103
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1114321155
LBN Legal business name Edwards, Patricia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2014
Last updated Aug 5th, 2016 - about 10 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 1114321155 NPPES
Wisconsin MEDICAID 47-1999302

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