Stroup, Edwin L

Stroup, Edwin L is an individual health care provider with primary practice located at 13695 Us Highway 1 , Sebastian FL 32958. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Stroup, Edwin L can be contacted via phone (772) 589-3186.

Contact Information

Primary practice address
13695 Us Highway 1 Sebastian FL 32958
Phone: (772) 589-3186
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 00018398 Washington
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME121393 Florida

Profile Details

NPI number 1508908369
LBN Legal business name Stroup, Edwin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Aug 1st, 2018 - about 8 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 1508908369 NPPES
Washington MEDICAID 8306912
Washington Other G000362000

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