Powell, John R

Powell, John R is an individual health care provider with primary practice located at 315 S Manning Blvd 0203 Mcauley, Albany NY 12208-1707. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Powell, John R can be contacted via phone (518) 525-1550.

Contact Information

Primary practice address
315 S Manning Blvd 0203 Mcauley Albany NY 12208-1707
Phone: (518) 525-1550
Fax: (518) 525-6545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 231657 New York
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 231657 New York

Profile Details

NPI number 1699777029
LBN Legal business name Powell, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jun 9th, 2021 - about 4 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 1699777029 NPPES
New York MEDICAID 02563202

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