Dewar, John Edward

Dewar, John Edward is an individual health care provider with primary practice located at 80 E Main St Ste 104, Canton NY 13617-1403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dewar, John Edward can be contacted via phone (315) 386-8184.

Contact Information

Primary practice address
80 E Main St Ste 104 Canton NY 13617-1403
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 139252 New York

Profile Details

NPI number 1518920081
LBN Legal business name Dewar, John Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated May 30th, 2017 - about 8 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 1518920081 NPPES
New York MEDICAID 00671590

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