Dearborn, Peyton R
Dearborn, Peyton R is an individual health care provider with primary practice located at 1 E New York Ave , Somers Point NJ 08244-2340. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Dearborn, Peyton R can be contacted via phone (609) 653-3500.Contact Information
Primary practice address
1 E New York Ave
Somers Point NJ 08244-2340
Phone: (609) 653-3500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 25MA06079200 | New Jersey |
Profile Details
NPI number | 1346243219 |
---|---|
LBN Legal business name | Dearborn, Peyton R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2005 |
Last updated | Oct 29th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346243219 | NPPES |
New Jersey | MEDICAID | 8783209 |
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