Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 0101057916 | VA |
N | 207P00000X | Emergency Physician | 38726 | TN |
N | 207P00000X | Emergency Physician | MD.31095 | AL |
N | 207P00000X | Emergency Physician | ME 84855 | FL |
N | 207PE0004X | Emergency Medical Services | 38726 | TN |
N | 207Q00000X | Family Doctor | 38726 | TN |
Y | 207Q00000X | Family Doctor | 64847-20 | WI |
NPI | 1053404871 |
---|---|
Provider Name | Dr. David Franklin Edwards |
First Address | Green Bay, WI 54301-3505 |
Second Address | Green Bay, WI 54311-6830 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 11/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000361786 | BCBS (01) | KY |
010256623 | (05) | VA |
3897971 | (05) | TN |
4089353 | BCBS (01) | TN |
64088636 | (05) | KY |
H63658 | (02) | TN |
P00364636 | RAILROAD MEDICARE (01) | TN |