Adams, Shicoren M
Adams, Shicoren M is an individual health care provider with primary practice located at 215 Wyoming St , Syracuse NY 13204-2927. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Adams, Shicoren M can be contacted via phone (315) 703-8700.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1629710439 |
|---|---|
| LBN Legal business name | Adams, Shicoren M |
| Credentials | YPA CREDIENTIAL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2022 |
| Last updated | Apr 12th, 2022 - about 4 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 | 1629710439 | NPPES |
| New York | MEDICAID | 175T00000X |
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