Uphoff, Marguerite H

Uphoff, Marguerite H is an individual health care provider with primary practice located at 10 Graham Rd W , Ithaca NY 14850-1055. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Uphoff, Marguerite H can be contacted via phone (607) 257-2188.

Contact Information

Primary practice address
10 Graham Rd W Ithaca NY 14850-1055
Phone: (607) 257-2188
Fax: (607) 266-7341
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 106924 New York

Profile Details

NPI number 1508848409
LBN Legal business name Uphoff, Marguerite H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Feb 17th, 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 1508848409 NPPES
Other V018315 TRICARE
MEDICAID 00467661 TRICARE
Other 161010811 TRICARE
Other 6492 TRICARE
Other 4217140 TRICARE
Other 000910785001 TRICARE
Other 08839 TRICARE

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