Pickard, James R.

Pickard, James R. is an sole proprietor health care provider with primary practice located at 1075 Whiting Rd , Jordan NY 13080-9749. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Home Modifications, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is his primary health care specialty. Pickard, James R. can be contacted via phone (315) 689-3896.

Contact Information

Primary practice address
1075 Whiting Rd Jordan NY 13080-9749
Phone: (315) 689-3896
Fax: (315) 689-7280
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X 161165267 New York
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1144362575
LBN Legal business name Pickard, James R.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Sep 30th, 2009 - about 17 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 1144362575 NPPES
New York Other 02082626 HCBS TBI MEDICAID WAIVER
New York MEDICAID 01639303 HCBS TBI MEDICAID WAIVER
New York Other 161165267 HCBS TBI MEDICAID WAIVER

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