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
Health care specialties
Specialty | Code | License # | 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 6 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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