Edwards, Robert L

Edwards, Robert L is an individual health care provider with primary practice located at 553 Hunters Run , Bossier City LA 71111-8171. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Edwards, Robert L can be contacted via phone (318) 539-1028.

Contact Information

Primary practice address
553 Hunters Run Bossier City LA 71111-8171
Phone: (318) 539-1028
Fax: (318) 539-1072
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 17820 Louisiana

Profile Details

NPI number 1023082542
LBN Legal business name Edwards, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Mar 7th, 2023 - about 3 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 1023082542 NPPES
Other 15680 LA CDS
MEDICAID 128050001 LA CDS
MEDICAID 1348627 LA CDS

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