Bombard, Anne L

Bombard, Anne L is an sole proprietor health care provider with primary practice located at 112 New York Rd , Plattsburgh NY 12903-3933. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Bombard, Anne L can be contacted via phone (518) 562-3380.

Contact Information

Primary practice address
112 New York Rd Plattsburgh NY 12903-3933
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 038098 New York

Profile Details

NPI number 1013196443
LBN Legal business name Bombard, Anne L
Credentials R.PH.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2007
Last updated May 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013196443 NPPES
New York MEDICAID 01401885

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