King, Dwain O

King, Dwain O is an sole proprietor health care provider with primary practice located at 11 Fremont St Apt 102 , Gloversville NY 12078-3230. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. King, Dwain O can be contacted via phone (518) 912-9980.

Contact Information

Primary practice address
11 Fremont St Apt 102 Gloversville NY 12078-3230
Phone: (518) 912-9980
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 319112 New York

Profile Details

NPI number 1588256689
LBN Legal business name King, Dwain O
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2021
Last updated Feb 9th, 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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