John, Thomas

John, Thomas is an individual health care provider with primary practice located at 1729 Burrstone Rd , New Hartford NY 13413-1001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. John, Thomas can be contacted via phone (315) 798-1808.

Contact Information

Primary practice address
1729 Burrstone Rd New Hartford NY 13413-1001
Phone: (315) 798-1808
Fax: (315) 798-1413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 216898 New York

Profile Details

NPI number 1770577884
LBN Legal business name John, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Jun 26th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770577884 NPPES
New York MEDICAID 02076680

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