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
Phone: (607) 973-8000
Fax: (607) 936-2600
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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