Ingerick, Brent S.

Ingerick, Brent S. is an individual health care provider with primary practice located at 1336 Cedar St , Elmira NY 14904-2951. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ingerick, Brent S. can be contacted via phone (607) 734-3929.

Contact Information

Primary practice address
1336 Cedar St Elmira NY 14904-2951
Phone: (607) 734-3929
Fax: (607) 734-0781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS012494 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 232476-1 New York

Profile Details

NPI number 1669440707
LBN Legal business name Ingerick, Brent S.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 25th, 2021 - 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 1669440707 NPPES
Pennsylvania MEDICAID 1012062540001
Pennsylvania MEDICAID 02581455
Pennsylvania Other GU039851
Pennsylvania Other P00337166
Pennsylvania Other CC8362
Pennsylvania Other P00173974
Pennsylvania Other CC9269

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