Standefer, James Earl

Standefer, James Earl is an sole proprietor health care provider with primary practice located at 5 Old Farm Rd Suite C2, Red Hook NY 12571-1643. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Standefer, James Earl can be contacted via phone (845) 702-3487.

Contact Information

Primary practice address
5 Old Farm Rd Suite C2 Red Hook NY 12571-1643
Phone: (845) 702-3487
Fax: (845) 520-9169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 235444-1 New York
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 235444-1 New York

Profile Details

NPI number 1659465615
LBN Legal business name Standefer, James Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Sep 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 1659465615 NPPES
New York Other 03038479 MEDICAID PROVIDER ID

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