Dolan, James R

Dolan, James R is an individual health care provider with primary practice located at 5100 W Taft Rd Suite 1C, Liverpool NY 13088-3807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dolan, James R can be contacted via phone (315) 452-2333.

Contact Information

Primary practice address
5100 W Taft Rd Suite 1C Liverpool NY 13088-3807
Fax: (315) 452-2336
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 175870 New York

Profile Details

NPI number 1962576694
LBN Legal business name Dolan, James R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jun 7th, 2012 - about 13 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 1962576694 NPPES
New York MEDICAID 01418299

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