Eubanks, David A

Eubanks, David A is an individual health care provider with primary practice located at 132 Cayuga Rd , Cheektowaga NY 14225-1942. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eubanks, David A can be contacted via phone (716) 204-9711.

Contact Information

Primary practice address
132 Cayuga Rd Cheektowaga NY 14225-1942
Fax: (716) 204-9717
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 194962 New York

Profile Details

NPI number 1235122334
LBN Legal business name Eubanks, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jul 19th, 2010 - about 15 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 1235122334 NPPES
New York MEDICAID 01500018

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