National Provider Identifier Database

EDWARDS MEDICAL PROVIDER GROUP
Multi-Specialty


Contact Information

EDWARDS MEDICAL PROVIDER GROUP
1360 WALNUT ST STE 104B
BOULDER, CO80302-5399
Phone: 970-693-0015
Fax:
Website:
Specialty Taxonomy Code
* Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for EDWARDS MEDICAL PROVIDER GROUP

NPI Number 1801662135
Legal business name
LBN
EDWARDS MEDICAL PROVIDER GROUP
Authorized official ASHLEY ELDER - (REVENUE CYCLE ADMINISTRATOR)
Entity Organization
Organization subpart Yes
Enumeration date 11/28/2023
Last updated 01/26/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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