Revercomb, Carolyn H
Revercomb, Carolyn H is an sole proprietor health care provider with primary practice located at 100 Elizabeth Blackwell St , Syracuse NY 13210-2303. She recently has only one registered license in Allopathic & Osteopathic Physicians / Forensic Pathology, which is considered as her primary health care specialty. Revercomb, Carolyn H can be contacted via phone (315) 435-3163.Contact Information
Primary practice address
100 Elizabeth Blackwell St
Syracuse NY 13210-2303
Phone: (315) 435-3163
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Pathology | 207ZF0201X | 202191 | New York |
Profile Details
| NPI number | 1750911061 |
|---|---|
| LBN Legal business name | Revercomb, Carolyn H |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2020 |
| Last updated | Jan 26th, 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.
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