Hathaway, Jeffrey W
Hathaway, Jeffrey W is an individual health care provider with primary practice located at 792 N Main St Ste 100C, North Syracuse NY 13212-1644. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Hathaway, Jeffrey W can be contacted via phone (315) 458-2552.Contact Information
Primary practice address
792 N Main St Ste 100C
North Syracuse NY 13212-1644
Phone: (315) 458-2552
Fax: (315) 458-2575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 008280 | New York |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT017496 | Pennsylvania |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 10927 | North Carolina |
Profile Details
| NPI number | 1518930809 |
|---|---|
| LBN Legal business name | Hathaway, Jeffrey W |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Mar 10th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518930809 | NPPES |
| New York | Other | P00004725 | RAILROAD MEDICARE |
| New York | Other | 435663 | RAILROAD MEDICARE |
| New York | Other | 000013512 | RAILROAD MEDICARE |
| New York | Other | 068AX | RAILROAD MEDICARE |
| New York | Other | 918237001 | RAILROAD MEDICARE |
| New York | Other | P00404780 | RAILROAD MEDICARE |
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