Edwards, Stephen Blaine

Edwards, Stephen Blaine is an individual health care provider with primary practice located at 3525 Loma Vista Rd Ste C , Ventura CA 93003-3165. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Edwards, Stephen Blaine can be contacted via phone (805) 652-6955.

Contact Information

Primary practice address
3525 Loma Vista Rd Ste C Ventura CA 93003-3165
Phone: (805) 652-6955
Fax: (805) 652-6959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT 22601 California

Profile Details

NPI number 1508971169
LBN Legal business name Edwards, Stephen Blaine
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Oct 1st, 2022 - about 4 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 1508971169 NPPES
California Other 22601 STATE LICENSE

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