Reden, Peter J

Reden, Peter J is an sole proprietor health care provider with primary practice located at 207 Foote Ave , Jamestown NY 14701-7077. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Reden, Peter J can be contacted via phone (716) 487-0141.

Contact Information

Primary practice address
207 Foote Ave Jamestown NY 14701-7077
Phone: (716) 487-0141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A162458 New York

Profile Details

NPI number 1528016359
LBN Legal business name Reden, Peter J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Feb 5th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528016359 NPPES
New York MEDICAID 01159420

Popular Providers