King, Jeffrey M

King, Jeffrey M is an individual health care provider with primary practice located at 15 Riverside Dr , Johnson City NY 13790-2742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. King, Jeffrey M can be contacted via phone (607) 770-9050.

Contact Information

Primary practice address
15 Riverside Dr Johnson City NY 13790-2742
Phone: (607) 770-9050
Fax: (607) 770-9091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 1939601 New York

Profile Details

NPI number 1992795116
LBN Legal business name King, Jeffrey M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Mar 22nd, 2021 - about 4 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 1992795116 NPPES
New York MEDICAID 00608737

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