Pearson, John W
Pearson, John W is an individual health care provider with primary practice located at 1279 E Main St , Riverhead NY 11901-2583. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Pearson, John W can be contacted via phone (631) 727-2100.Contact Information
Primary practice address
1279 E Main St
Riverhead NY 11901-2583
Phone: (631) 727-2100
Fax: (631) 727-2646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 145150 | New York |
Profile Details
| NPI number | 1215930631 |
|---|---|
| LBN Legal business name | Pearson, John W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Oct 27th, 2011 - about 13 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 | 1215930631 | NPPES |
| New York | MEDICAID | 00656955 |
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