Vandermeer, Thomas Jefferson

Vandermeer, Thomas Jefferson is an individual health care provider with primary practice located at 750 East Adams St. , Syracuse NY 13210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Vandermeer, Thomas Jefferson can be contacted via phone (315) 464-1800.

Contact Information

Primary practice address
750 East Adams St. Syracuse NY 13210
Phone: (315) 464-1800
Fax: (315) 464-6238
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 212422-1 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X MD066677L Pennsylvania

Profile Details

NPI number 1215903844
LBN Legal business name Vandermeer, Thomas Jefferson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Mar 26th, 2019 - about 6 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 1215903844 NPPES
Pennsylvania MEDICAID 0017090630001
Pennsylvania Other 020046847
Pennsylvania Other CC9269
Pennsylvania Other GU039818
Pennsylvania MEDICAID 01876677

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