Powell, Marita
Powell, Marita is an individual health care provider with primary practice located at 40 Arch St , Johnson City NY 13790-2102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Powell, Marita can be contacted via phone (607) 763-6075.Contact Information
Primary practice address
40 Arch St
Johnson City NY 13790-2102
Phone: (607) 763-6075
Fax: (607) 763-5234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 187655 | New York |
Profile Details
| NPI number | 1215989538 |
|---|---|
| LBN Legal business name | Powell, Marita |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Aug 5th, 2010 - about 14 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 | 1215989538 | NPPES |
| New York | MEDICAID | 01493970 |
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