Deloria, John Edward

Deloria, John Edward is an sole proprietor health care provider with primary practice located at 3835 204Th St , Bayside NY 11361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Deloria, John Edward can be contacted via phone (718) 974-1879.

Contact Information

Primary practice address
3835 204Th St Bayside NY 11361
Phone: (718) 974-1879
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 135764-1 New York

Profile Details

NPI number 1760726707
LBN Legal business name Deloria, John Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2012
Last updated Nov 8th, 2019 - about 5 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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