Phelan, John Thomas

Phelan, John Thomas is an sole proprietor health care provider with primary practice located at 400 Patroon Creek Blvd Suite 1, Albany NY 12206-5013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Phelan, John Thomas can be contacted via phone (518) 489-0044.

Contact Information

Primary practice address
400 Patroon Creek Blvd Suite 1 Albany NY 12206-5013
Fax: (518) 489-3591
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 214115 New York

Profile Details

NPI number 1467408609
LBN Legal business name Phelan, John Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2006
Last updated Mar 20th, 2019 - about 6 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 1467408609 NPPES
New York Other P01125937 RAILROAD MEDICARE
New York MEDICAID 01945188 RAILROAD MEDICARE

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