Southworth, Patricia A
Southworth, Patricia A is an sole proprietor health care provider with primary practice located at 6 Frank St , Ballston Lake NY 12019-2400. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Southworth, Patricia A can be contacted via phone (518) 441-6548.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | 35599 | New York |
Profile Details
NPI number | 1194901199 |
---|---|
LBN Legal business name | Southworth, Patricia A |
Credentials | RPH |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 21st, 2008 |
Last updated | Dec 27th, 2018 - about 6 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 | 1194901199 | NPPES |
New York | Other | 35599 | STATE PHARMACIST LIC. |
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