Wormold, Edward
Wormold, Edward is an individual health care provider with primary practice located at 167 Main St , Southampton NY 11968-4823. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Wormold, Edward can be contacted via phone (631) 283-4190.Contact Information
Primary practice address
167 Main St
Southampton NY 11968-4823
Phone: (631) 283-4190
Fax: (631) 283-7650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 003464-1 | New York |
Profile Details
| NPI number | 1316917560 |
|---|---|
| LBN Legal business name | Wormold, Edward |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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