Amidon, Joel P

Amidon, Joel P is an individual health care provider with primary practice located at 2 Ellinwood Dr , New Hartford NY 13413-1102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Amidon, Joel P can be contacted via phone (315) 507-5081.

Contact Information

Primary practice address
2 Ellinwood Dr New Hartford NY 13413-1102
Phone: (315) 507-5081
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 174010 New York

Profile Details

NPI number 1922080795
LBN Legal business name Amidon, Joel P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Apr 3rd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922080795 NPPES
New York MEDICAID 01077605

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