Madrid, Edmundo

Madrid, Edmundo is an sole proprietor health care provider with primary practice located at 1115 Ball Ave Ne , Grand Rapids MI 49505-5904. He recently has only one registered license in Agencies / Case Management, which is considered as his primary health care specialty. Madrid, Edmundo can be contacted via phone (616) 456-6571.

Contact Information

Primary practice address
1115 Ball Ave Ne Grand Rapids MI 49505-5904
Phone: (616) 456-6571
Fax: (616) 458-5430
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1255691747
LBN Legal business name Madrid, Edmundo
Credentials MAW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2012
Last updated May 18th, 2012 - about 14 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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