Trussell, J C

Trussell, J C is an individual health care provider with primary practice located at 750 East Adams Street Upstate University Hospital, Syracuse NY 13210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Trussell, J C can be contacted via phone (315) 464-6031.

Contact Information

Primary practice address
750 East Adams Street Upstate University Hospital Syracuse NY 13210
Phone: (315) 464-6031
Fax: (315) 464-6117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD418317 Pennsylvania
Allopathic & Osteopathic Physicians / Urology 208800000X 253896 New York

Profile Details

NPI number 1245296524
LBN Legal business name Trussell, J C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Oct 21st, 2010 - about 14 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 1245296524 NPPES
New York MEDICAID 03124494
New York MEDICAID 0018902490001

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