Mcdermott, James Robert
Mcdermott, James Robert is an individual health care provider with primary practice located at 569 Pierce St , Kingston PA 18704-5731. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Occupational Health, Chiropractic Providers / Chiropractor. Chiropractic Providers / Occupational Health is his primary health care specialty. Mcdermott, James Robert can be contacted via phone (570) 288-5800.Contact Information
Primary practice address
569 Pierce St
Kingston PA 18704-5731
Phone: (570) 288-5800
Fax: (570) 288-5900
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Occupational Health | 111NX0100X | AJ-007572-L | Pennsylvania |
Chiropractic Providers / Chiropractor | 111N00000X | DC-007572-L | Pennsylvania |
Profile Details
NPI number | 1831160126 |
---|---|
LBN Legal business name | Mcdermott, James Robert |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 27th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831160126 | NPPES |
Pennsylvania | Other | P00115858 | RAILROAD MEDICARE |
Pennsylvania | Other | MC348462 | RAILROAD MEDICARE |
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