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Contact Information

JERRY S EDWARDS
914 TAIT ST.REET
OCEANSIDE, CA92054
 Phone: 760-644-5958
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacotherapy

1835P1200X
Indicates primary specialty

NPI Profile & details for JERRY S EDWARDS · (Male)

NPI Number 1689960775
Status Active
Credentials
Entity Individual
Enumeration date 06/27/2011
Last updated 06/27/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 32823
  • OR License # 6653
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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