Mietzelfeld, Lawrence Otto

Mietzelfeld, Lawrence Otto is an sole proprietor health care provider with primary practice located at 55 S Main St , Oneonta NY 13820-2516. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mietzelfeld, Lawrence Otto can be contacted via phone (607) 432-4330.

Contact Information

Primary practice address
55 S Main St Oneonta NY 13820-2516
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X003096 New York

Profile Details

NPI number 1710087408
LBN Legal business name Mietzelfeld, Lawrence Otto
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710087408 NPPES
New York Other C03096-7 WORKERS' COMPENSATION

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