| Specialty | Taxonomy Code | |
|---|---|---|
| * | Rural Health | 261QR1300X |
| Family Medicine | 207Q00000X |
* Indicates primary specialty
| NPI Number | 1376662486 |
| Legal business name LBN |
TWO RIVERS MEDICAL CLINIC, PA |
| Authorized official | TONY EDMONDSON - (CLINIC ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 03/28/2007 |
| Last updated | 04/12/2016 - About 10 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
|
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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