Edwards, Patrick James

Edwards, Patrick James is an sole proprietor health care provider with primary practice located at 147 N State St , Berlin WI 54923-1621. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Edwards, Patrick James can be contacted via phone (920) 361-3515.

Contact Information

Primary practice address
147 N State St Berlin WI 54923-1621
Phone: (920) 361-3515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3417 Wisconsin

Profile Details

NPI number 1134200413
LBN Legal business name Edwards, Patrick James
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Jun 20th, 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 1134200413 NPPES
Wisconsin MEDICAID 38900700

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