Knowles, Edward Wesley

Knowles, Edward Wesley is an sole proprietor health care provider with primary practice located at 911 S Broad St , Scottsboro AL 35768-2509. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Knowles, Edward Wesley can be contacted via phone (256) 259-0185.

Contact Information

Primary practice address
911 S Broad St Scottsboro AL 35768-2509
Fax: (256) 259-0317
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 17019 Alabama
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 17019 Alabama

Profile Details

NPI number 1114925815
LBN Legal business name Knowles, Edward Wesley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Sep 4th, 2014 - about 12 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 1114925815 NPPES
Alabama MEDICAID 051555306
Alabama Other 51000144

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