Sumber, Jonathan Paul

Sumber, Jonathan Paul is an sole proprietor health care provider with primary practice located at 190 Fair St , Kingston NY 12401-4502. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Sumber, Jonathan Paul can be contacted via phone (845) 331-0601.

Contact Information

Primary practice address
190 Fair St Kingston NY 12401-4502
Phone: (845) 331-0601
Fax: (845) 331-0601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N004351-1 New York

Profile Details

NPI number 1184621906
LBN Legal business name Sumber, Jonathan Paul
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Nov 17th, 2009 - about 15 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 1184621906 NPPES
New York MEDICAID 01094059

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