Cumberworth, William A

Cumberworth, William A is an individual health care provider with primary practice located at 657A West Maple Street , Farmington NY 87401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Cumberworth, William A can be contacted via phone (505) 325-5025.

Contact Information

Primary practice address
657A West Maple Street Farmington NY 87401
Phone: (505) 325-5025
Fax: (505) 325-0689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 70-29 New Mexico

Profile Details

NPI number 1255443024
LBN Legal business name Cumberworth, William A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 18 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 1255443024 NPPES
Other NM004695 BSHIELD
MEDICAID 0645 BSHIELD

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