Emanuel, John Anthony

Emanuel, John Anthony is an individual health care provider with primary practice located at 18A Ridge Road , Horseheads NY 14845. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Emanuel, John Anthony can be contacted via phone (607) 739-8187.

Contact Information

Primary practice address
18A Ridge Road Horseheads NY 14845
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 039571 New York

Profile Details

NPI number 1043220213
LBN Legal business name Emanuel, John Anthony
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jul 8th, 2007 - about 17 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 1043220213 NPPES
New York MEDICAID 00913355

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