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Contact Information

ERIC W LONGENBACH, MD
217 KING ST
LAPORTE, PA18626
 Phone: 570-946-5101
 Fax: 570-946-4341
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ERIC W LONGENBACH · (Male)

NPI Number 1922068162
Status Active
Credentials MD
Entity Individual
Enumeration date 03/23/2006
Last updated 03/08/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD027396E
  • PA Medicaid 000945182
  • PA Other 923651 AETNA
  • PA Other 001730 FIRST PRIORITY HEALTH
  • PA Other B38831 HEALTHAMERICA
  • PA Other 138091 HIGHMARK BLUE SHIELD
  • PA Other 177535 UNITEDHEALTHCARE
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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