Cunningham, Scott Mark

Cunningham, Scott Mark is an individual health care provider with primary practice located at 200 E 3Rd St , Jamestown NY 14701-5433. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Cunningham, Scott Mark can be contacted via phone (716) 661-8330.

Contact Information

Primary practice address
200 E 3Rd St Jamestown NY 14701-5433
Phone: (716) 661-8330
Fax: (716) 661-8364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34006556 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS010138L Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 288392-1 New York

Profile Details

NPI number 1568403624
LBN Legal business name Cunningham, Scott Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 21st, 2022 - about 3 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 1568403624 NPPES
Ohio MEDICAID 2250835
Ohio Other 942460636226
Ohio MEDICAID 0017158750008
Ohio MEDICAID 0017158750009
Ohio Other P00220889

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