Sturdevant, Joseph L

Sturdevant, Joseph L is an individual health care provider with primary practice located at 515 Main St , Olean NY 14760-1513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sturdevant, Joseph L can be contacted via phone (716) 373-2600.

Contact Information

Primary practice address
515 Main St Olean NY 14760-1513
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD428120 Pennsylvania

Profile Details

NPI number 1326081704
LBN Legal business name Sturdevant, Joseph L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Oct 10th, 2012 - about 12 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 1326081704 NPPES
Pennsylvania Other 1552882 GATEWAY
Pennsylvania Other 411353 GATEWAY
Pennsylvania MEDICAID 1015984860001 GATEWAY
Pennsylvania Other 2655247 GATEWAY
Pennsylvania Other P00339483 GATEWAY
Pennsylvania Other 1861235 GATEWAY
Pennsylvania Other 00027610101 GATEWAY
Pennsylvania Other 1069667 GATEWAY
Pennsylvania Other 02757308 GATEWAY
Pennsylvania Other 1333544 GATEWAY
Pennsylvania Other 186463 GATEWAY

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