Pickeral, Robert James
Pickeral, Robert James is an individual health care provider with primary practice located at 53-59 Public Sq Ste 301 , Watertown NY 13601-2674. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Pickeral, Robert James can be contacted via phone (315) 782-2141.Contact Information
Primary practice address
53-59 Public Sq Ste 301
Watertown NY 13601-2674
Phone: (315) 782-2141
Fax: (315) 782-5123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 024741 | New York |
Profile Details
| NPI number | 1205469186 |
|---|---|
| LBN Legal business name | Pickeral, Robert James |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2020 |
| Last updated | Mar 3rd, 2020 - about 6 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 | 1205469186 | NPPES |
| New York | Other | 024741 | NEW YORK STATE |
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