Olmstead, John

Olmstead, John is an individual health care provider with primary practice located at 3 Guthrie Dr , Corning NY 14830-3696. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Olmstead, John can be contacted via phone (607) 973-8000.

Contact Information

Primary practice address
3 Guthrie Dr Corning NY 14830-3696
Fax: (607) 936-2600
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 230070-1 New York

Profile Details

NPI number 1912979576
LBN Legal business name Olmstead, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Mar 5th, 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 1912979576 NPPES
New York Other CC8362 RR MEDICARE GROUP
New York MEDICAID 1008655200001 RR MEDICARE GROUP
New York Other P00090504 RR MEDICARE GROUP
New York Other P00090504 RR MEDICARE GROUP
New York MEDICAID 02471814 RR MEDICARE GROUP

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