Bierwagen, David M

Bierwagen, David M is an individual health care provider with primary practice located at 3229 E Genesee St , Syracuse NY 13214-2016. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Bierwagen, David M can be contacted via phone (315) 446-7501.

Contact Information

Primary practice address
3229 E Genesee St Syracuse NY 13214-2016
Phone: (315) 446-7501
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 005052-1 New York

Profile Details

NPI number 1225186844
LBN Legal business name Bierwagen, David M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 19 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 1225186844 NPPES
New York MEDICAID 00578405

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