Pedersen, Dean C

Pedersen, Dean C is an individual health care provider with primary practice located at 11050 Mount Belvedere Blvd Usa Meddac Attn: Credentials, Fort Drum NY 13602-5438. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pedersen, Dean C can be contacted via phone (315) 772-4025.

Contact Information

Primary practice address
11050 Mount Belvedere Blvd Usa Meddac Attn: Credentials Fort Drum NY 13602-5438
Phone: (315) 772-4025
Fax: (315) 772-9498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19547 Nebraska

Profile Details

NPI number 1760471015
LBN Legal business name Pedersen, Dean C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
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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