Individual
DR. JAMES R EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC DABCO LAC
Contact information
Practice address
2129 16TH ST, BEDFORD, IN 47421-3003
(812) 275-3323
(812) 277-9354
Mailing address
2129 16TH ST, BEDFORD, IN 47421-3003
(812) 275-3323
(812) 277-9354
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
871
IN
111NX0800X
Orthopedic Chiropractor
08000871A
IN
171100000X
Acupuncturist
81000034A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000085334
ANTHEM BLUE CROSS BLUE SH
IN
01
—
014356
SIHO
IN
05
—
100166180
—
IN
Enumeration date
11/21/2006
Last updated
11/12/2019
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