Stephen Blaine Edwards in Ventura - Orthopedic

Stephen Blaine Edwards - NPI 1508971169

Stephen Blaine Edwards is a Orthopedic in Ventura, California. Stephen Blaine Edwards practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Stephen Blaine Edwards is 1508971169. The last update date is 2022-10-01.

Stephen Blaine Edwards's current location address is 5720 Ralston St Ste 200, Ventura, California. You can contact this provider via phone number 8058044168 and fax number 8058301177. The mailing address for Stephen Blaine Edwards is 5720 Ralston St Ste 200, Ventura, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Blaine Edwards
Address 5720 Ralston St Ste 200, Ventura, California
Phone Number 8058044168
Fax Number 8058301177
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1508971169
Provider Enumeration Date 2006-08-21
Last Updated Date 2022-10-01

Provider Mailing Address Detail

Address 5720 Ralston St Ste 200
City Ventura
State California (CA)
Post Code 930037844
Phone Number 8058044168
Fax Number 8058301177

Provider's Primary Taxonomy Detail

Speciality Orthopedic
Taxonomy 2251X0800X
Licence No PT 22601
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
22601 CA STATE LICENSE

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FAQs about Stephen Blaine Edwards

What is the unique identification code assigned to Stephen Blaine Edwards by the Centers for Medicare & Medicaid Services?

The Stephen Blaine Edwards has been issued the NPI (National Provider Identifier) 1508971169. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Stephen Blaine Edwards is located?

The Stephen Blaine Edwards is situated at the following address: 5720 Ralston St Ste 200, Ventura, CA, 930037844.

What is Stephen Blaine Edwards's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Stephen Blaine Edwards is Orthopedic, and the taxonomy code that classifies this field of practice is 2251X0800X.

On what date did the Stephen Blaine Edwards receive its 1508971169 assignment from the Centers for Medicare & Medicaid Services?

The Stephen Blaine Edwards was assigned its 1508971169 by the Centers for Medicare & Medicaid Services on 2006-08-21.

When was the information regarding Stephen Blaine Edwards most recently updated?

The details pertaining to the Stephen Blaine Edwards, including its address, specialty, and other relevant information, were last refreshed on 2022-10-01.

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