Paul, David Andrew
Paul, David Andrew is an sole proprietor health care provider with primary practice located at 11050 Mount Belvedere Blvd Usa Meddac/Credentials, Fort Drum NY 13602-5438. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Paul, David Andrew can be contacted via phone (315) 772-4025.Contact Information
Primary practice address
11050 Mount Belvedere Blvd Usa Meddac/Credentials
Fort Drum NY 13602-5438
Phone: (315) 772-4025
Fax: (315) 772-9498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV007347-1 | New York |
Profile Details
| NPI number | 1063664720 |
|---|---|
| LBN Legal business name | Paul, David Andrew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2008 |
| Last updated | Oct 14th, 2008 - about 18 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 | 1063664720 | NPPES |
| New York | Other | VADOOO | US ARMY |
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