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Contact Information

CLARION UNIVERSITY OF PENNSYLVANIA
15870 ROUTE 322
SUITE 2
CLARION, PA16214-6338
 Phone: 814-764-6066
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for CLARION UNIVERSITY OF PENNSYLVANIA · (Female)

NPI # 1225241805
Status Active
Credentials
Entity Individual
Enumeration date 05/08/2007
Last updated 12/12/2019 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA Medicaid 1002302280003
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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