Varnum, Corliss Adam

Varnum, Corliss Adam is an individual health care provider with primary practice located at 33 E Schuyler St , Oswego NY 13126-1161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Varnum, Corliss Adam can be contacted via phone (315) 343-6974.

Contact Information

Primary practice address
33 E Schuyler St Oswego NY 13126-1161
Phone: (315) 343-6974
Fax: (315) 342-3625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 165522 New York

Profile Details

NPI number 1275523672
LBN Legal business name Varnum, Corliss Adam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Apr 17th, 2015 - about 10 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 1275523672 NPPES
New York MEDICAID 00964989

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