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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184621906 | NPPES |
| New York | MEDICAID | 01094059 |
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