Edwards, Phillip Archie

Edwards, Phillip Archie is an individual health care provider with primary practice located at 1120 Gordon Ln , Santa Rosa CA 95404-5636. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Nursing Service Related Providers / Day Training/Habilitation Specialist. Nursing Service Related Providers / Day Training/Habilitation Specialist is his primary health care specialty. Edwards, Phillip Archie can be contacted via phone (707) 527-3249.

Contact Information

Primary practice address
1120 Gordon Ln Santa Rosa CA 95404-5636
Phone: (707) 527-3249
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1063989655
LBN Legal business name Edwards, Phillip Archie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2018
Last updated Aug 5th, 2025 - about last year

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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