Vandewall, James Craig

Vandewall, James Craig is an sole proprietor health care provider with primary practice located at 415 N 8Th St , Olean NY 14760-2237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Vandewall, James Craig can be contacted via phone (716) 372-9399.

Contact Information

Primary practice address
415 N 8Th St Olean NY 14760-2237
Phone: (716) 372-9399
Fax: (716) 373-5530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 195467 New York
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 195467-1 New York

Profile Details

NPI number 1609872795
LBN Legal business name Vandewall, James Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2005
Last updated Jul 5th, 2023 - about 3 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 1609872795 NPPES
New York Other P00079354 RR MEDICARE
New York MEDICAID 01482237 RR MEDICARE

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