Edbauer, Michael Joseph

Edbauer, Michael Joseph is an sole proprietor health care provider with primary practice located at 3040 Amsdell Rd , Hamburg NY 14075-5835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Edbauer, Michael Joseph can be contacted via phone (716) 646-1084.

Contact Information

Primary practice address
3040 Amsdell Rd Hamburg NY 14075-5835
Phone: (716) 646-1084
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 181545 New York

Profile Details

NPI number 1932105640
LBN Legal business name Edbauer, Michael Joseph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2005
Last updated Nov 30th, 2016 - 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 1932105640 NPPES
New York Other 040426002674 FIDELIS
New York Other 000528208005 FIDELIS
New York Other 1209831 FIDELIS
New York Other 00010050104 FIDELIS
New York MEDICAID 01246139 FIDELIS

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