Despoy, James A

Despoy, James A is an sole proprietor health care provider with primary practice located at 401 Magee Ave , Patton PA 16668-1210. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Despoy, James A can be contacted via phone (814) 674-8922.

Contact Information

Primary practice address
401 Magee Ave Patton PA 16668-1210
Fax: (814) 674-5818
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1922140656
LBN Legal business name Despoy, James A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922140656 NPPES
Pennsylvania MEDICAID 1013113850001

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