Depner, Christopher R
Depner, Christopher R is an individual health care provider with primary practice located at 12 Martin St , Wellsville NY 14895-1057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Depner, Christopher R can be contacted via phone (585) 593-4250.Contact Information
Primary practice address
12 Martin St
Wellsville NY 14895-1057
Phone: (585) 593-4250
Fax: (585) 593-2465
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 173875-1 | New York |
Profile Details
NPI number | 1104810944 |
---|---|
LBN Legal business name | Depner, Christopher R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 8th, 2005 |
Last updated | Jun 17th, 2010 - about 14 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 | 1104810944 | NPPES |
New York | MEDICAID | 01080175 | |
New York | Other | 173875 |
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