Dutch, William M

Dutch, William M is an individual health care provider with primary practice located at 6700 Kirkville Rd Ste 202, East Syracuse NY 13057-9305. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Dutch, William M can be contacted via phone (315) 701-2929.

Contact Information

Primary practice address
6700 Kirkville Rd Ste 202 East Syracuse NY 13057-9305
Fax: (315) 701-1473
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N005690 New York

Profile Details

NPI number 1689666331
LBN Legal business name Dutch, William M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Apr 14th, 2015 - about 9 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 1689666331 NPPES
New York MEDICAID 02181744

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