Homer, John W

Homer, John W is an sole proprietor health care provider with primary practice located at 75 Beekman St , Plattsburgh NY 12901-1438. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Homer, John W can be contacted via phone (518) 561-2000.

Contact Information

Primary practice address
75 Beekman St Plattsburgh NY 12901-1438
Phone: (518) 561-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 190533 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 190533 New York

Profile Details

NPI number 1841268836
LBN Legal business name Homer, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2006
Last updated Oct 6th, 2022 - about 3 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 1841268836 NPPES
New York MEDICAID 01458846

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