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Contact Information

FAMILY PRACTICE CENTER, PC
112 E CHURCH ST
LOCK HAVEN, PA17745
 Phone: 570-293-4933
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for FAMILY PRACTICE CENTER PC · (Female)

NPI # 1689661290
Status Active
Credentials
Entity Individual
Enumeration date 09/29/2005
Last updated 07/26/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA Medicaid 000657230
Hospital affiliation(s) Not Available
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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