Kellermann, Edward Paul
Kellermann, Edward Paul is an individual health care provider with primary practice located at 325 Route 110 , Huntington Station NY 11746-4149. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kellermann, Edward Paul can be contacted via phone (631) 271-2525.Contact Information
Primary practice address
325 Route 110
Huntington Station NY 11746-4149
Phone: (631) 271-2525
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 040206 | New York |
Profile Details
| NPI number | 1447431028 |
|---|---|
| LBN Legal business name | Kellermann, Edward Paul |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2007 |
| Last updated | Nov 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447431028 | NPPES |
| New York | MEDICAID | 01562505 |
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