Immerman, Marc

Immerman, Marc is an individual health care provider with primary practice located at 1003 Walnut St , Elmira NY 14901-1007. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Immerman, Marc can be contacted via phone (607) 732-5646.

Contact Information

Primary practice address
1003 Walnut St Elmira NY 14901-1007
Phone: (607) 732-5646
Fax: (607) 732-0373
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 174214 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 174214 New York

Profile Details

NPI number 1417967712
LBN Legal business name Immerman, Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Feb 6th, 2018 - about 8 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 1417967712 NPPES
New York Other 000915192004 BCBS
New York MEDICAID 01144467 BCBS

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