Edmonston, James H

Edmonston, James H is an sole proprietor health care provider with primary practice located at 313 N Main St , Wellsville NY 14895-1016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Edmonston, James H can be contacted via phone (585) 593-7911.

Contact Information

Primary practice address
313 N Main St Wellsville NY 14895-1016
Phone: (585) 593-7911
Fax: (585) 593-7913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 187816-1 New York

Profile Details

NPI number 1699750521
LBN Legal business name Edmonston, James H
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2005
Last updated Jan 12th, 2010 - about 14 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 1699750521 NPPES
New York Other 00040392401 UNIVERA PROVIDER ID
New York Other 000528829001 UNIVERA PROVIDER ID
New York Other 6100236 UNIVERA PROVIDER ID
New York Other 2390047 UNIVERA PROVIDER ID
New York MEDICAID 01288173 UNIVERA PROVIDER ID
New York MEDICAID 0969620 UNIVERA PROVIDER ID
New York Other Y037457 UNIVERA PROVIDER ID

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