Paddock, Nathan J
Paddock, Nathan J is an individual health care provider with primary practice located at 1555 Long Pond Rd Emergency Center, Rochester NY 14626-4122. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Paddock, Nathan J can be contacted via phone (585) 723-7005.Contact Information
Primary practice address
1555 Long Pond Rd Emergency Center
Rochester NY 14626-4122
Phone: (585) 723-7005
Fax: (585) 368-4945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 009357 | New York |
Profile Details
| NPI number | 1679526503 |
|---|---|
| LBN Legal business name | Paddock, Nathan J |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679526503 | NPPES |
| New York | MEDICAID | 02564327 | |
| New York | Other | 177741AZ |
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