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Contact Information

MICHAEL H ENTRUP, MD
100 N ACADEMY AVE
DANVILLE, PA17822-2025
 Phone: 570-271-6975
 Fax: 570-271-6762
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL H ENTRUP · (Male)

NPI Number 1649376104
Status Active
Credentials MD
Entity Individual
Enumeration date 09/15/2006
Last updated 08/24/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 59948
  • PA License # MD441677
  • RI License # MD13053
  • MA Medicaid 3039854
  • PA Medicaid 1025459600001
Hospital affiliation(s)
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care)
    1945 RTE 33
    NEPTUNE, NJ 07754
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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