| Organization Name: | TRICORNE PRIMARY NERVE & JOINT |
| NPI Number: | 1215246764 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EARL WILBERT EDWARDS (PRESIDENT) |
| Mailing Address: | 2200 S George St Suite W2 York |
| State: | PA US |
| Postal Code: | 174034594 |
| Phone Number: | 7177473220 |
| Fax Number: | 7177473338 |
| NPI Enumeration Date: | 10/01/2010 |
| NPI Last Update Date: | 04/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD427825 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |