Wormuth, David Wilson
Wormuth, David Wilson is an individual health care provider with primary practice located at 5008 Brittonfield Pkwy Ste 700 , East Syracuse NY 13057-9249. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Wormuth, David Wilson can be contacted via phone (315) 234-7860.Contact Information
Primary practice address
5008 Brittonfield Pkwy Ste 700
East Syracuse NY 13057-9249
Phone: (315) 234-7860
Fax: (315) 634-5170
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 218591 | New York |
Profile Details
NPI number | 1053371344 |
---|---|
LBN Legal business name | Wormuth, David Wilson |
Credentials | M.D., M.P.H. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 23rd, 2006 |
Last updated | Sep 21st, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053371344 | NPPES |
New York | MEDICAID | 02091129 | |
New York | Other | P00446825 |
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