Southard, Eric R

Southard, Eric R is an individual health care provider with primary practice located at 6000 N Bailey Ave , Amherst NY 14226-5102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Southard, Eric R can be contacted via phone (716) 834-4266.

Contact Information

Primary practice address
6000 N Bailey Ave Amherst NY 14226-5102
Fax: (716) 834-6255
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 184767 New York

Profile Details

NPI number 1306825153
LBN Legal business name Southard, Eric R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jul 23rd, 2014 - about 10 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 1306825153 NPPES
New York Other 0409761 IHA
New York Other 145445BJ IHA
New York Other 040426001983 IHA
New York MEDICAID 01355022 IHA
New York Other 00010170803 IHA
New York Other 000511558004 IHA

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