Markwardt, George Lee
Markwardt, George Lee is an individual health care provider with primary practice located at 55 Central Plz , Ilion NY 13357-1701. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Markwardt, George Lee can be contacted via phone (315) 894-0071.Contact Information
Primary practice address
55 Central Plz
Ilion NY 13357-1701
Phone: (315) 894-0071
Fax: (315) 894-0078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 334948 | New York |
| Nursing Service Providers / Registered Nurse | 163W00000X | 460581 | New York |
Profile Details
| NPI number | 1407859622 |
|---|---|
| LBN Legal business name | Markwardt, George Lee |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Feb 28th, 2011 - about 14 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 | 1407859622 | NPPES |
| New York | MEDICAID | 02625285 |
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