Hutsal, Edwin P
Hutsal, Edwin P is an individual health care provider with primary practice located at 600 Roe Ave , Elmira NY 14905-1629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hutsal, Edwin P can be contacted via phone (607) 734-3414.Contact Information
Primary practice address
600 Roe Ave
Elmira NY 14905-1629
Phone: (607) 734-3414
Fax: (607) 734-9728
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 129259-1 | New York |
Profile Details
| NPI number | 1861469819 |
|---|---|
| LBN Legal business name | Hutsal, Edwin P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Feb 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861469819 | NPPES |
| New York | MEDICAID | 00360141 |
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