Parker, Jeffrey A
Parker, Jeffrey A is an sole proprietor health care provider with primary practice located at 156 Pike St , Port Jervis NY 12771-1808. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Parker, Jeffrey A can be contacted via phone (845) 856-7700.Contact Information
Primary practice address
156 Pike St
Port Jervis NY 12771-1808
Phone: (845) 856-7700
Fax: (845) 858-9284
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N002727-1 | New York |
Profile Details
| NPI number | 1982603346 |
|---|---|
| LBN Legal business name | Parker, Jeffrey A |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Aug 4th, 2010 - about 14 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 | 1982603346 | NPPES |
| New York | MEDICAID | 01537044 |
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