Edwards, Stanley Owen
Edwards, Stanley Owen is an individual health care provider with primary practice located at 7251 W 20Th St Unit K, Greeley CO 80634-4625. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Other Service Providers / Legal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Edwards, Stanley Owen can be contacted via phone (970) 353-4322.Contact Information
Primary practice address
7251 W 20Th St Unit K
Greeley CO 80634-4625
Phone: (970) 353-4322
Fax: (970) 353-0190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 19391 | Colorado |
| Other Service Providers / Legal Medicine | 173000000X | 19391 | Colorado |
Profile Details
| NPI number | 1316907876 |
|---|---|
| LBN Legal business name | Edwards, Stanley Owen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Apr 9th, 2008 - about 18 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 | 1316907876 | NPPES |
| Colorado | MEDICAID | 01193911 | |
| Colorado | Other | ED30586 |
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