Deltosta, Kim

Deltosta, Kim is an individual health care provider with primary practice located at 159 W 1St St , Oswego NY 13126-2045. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Deltosta, Kim can be contacted via phone (315) 342-9575.

Contact Information

Primary practice address
159 W 1St St Oswego NY 13126-2045
Phone: (315) 342-9575
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 581649111 New York
Other Service Providers / Specialist 174400000X 581650111 New York
Other Service Providers / Specialist 174400000X 665462121 New York
Other Service Providers / Specialist 174400000X 665461121 New York

Profile Details

NPI number 1134546500
LBN Legal business name Deltosta, Kim
Credentials BA, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2014
Last updated Mar 24th, 2014 - about 11 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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