Pickeral, Robert James

Pickeral, Robert James is an individual health care provider with primary practice located at 53-59 Public Sq Ste 301 , Watertown NY 13601-2674. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Pickeral, Robert James can be contacted via phone (315) 782-2141.

Contact Information

Primary practice address
53-59 Public Sq Ste 301 Watertown NY 13601-2674
Phone: (315) 782-2141
Fax: (315) 782-5123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 024741 New York

Profile Details

NPI number 1205469186
LBN Legal business name Pickeral, Robert James
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2020
Last updated Mar 3rd, 2020 - about 5 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 1205469186 NPPES
New York Other 024741 NEW YORK STATE

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