King, Osric Shaun

King, Osric Shaun is an sole proprietor health care provider with primary practice located at 17660 Union Tpke Suite #190, Fresh Meadows NY 11366-1531. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. King, Osric Shaun can be contacted via phone (718) 591-5693.

Contact Information

Primary practice address
17660 Union Tpke Suite #190 Fresh Meadows NY 11366-1531
Phone: (718) 591-5693
Fax: (718) 591-8919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 206390 New York

Profile Details

NPI number 1164549382
LBN Legal business name King, Osric Shaun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2007
Last updated Apr 29th, 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 1164549382 NPPES
New York Other 5005A1 BLUE CROSS BLUE SHIELDS
New York Other 043604737 BLUE CROSS BLUE SHIELDS
New York Other 2778049 BLUE CROSS BLUE SHIELDS
New York Other 043604737 BLUE CROSS BLUE SHIELDS
New York Other 7226057 BLUE CROSS BLUE SHIELDS
New York Other 9684750 BLUE CROSS BLUE SHIELDS
New York Other P2695786 BLUE CROSS BLUE SHIELDS

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