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Contact Information

ST JOSEPHS INTERNAL MEDICINE PC
300 S HICKORY ST
MOUNT CARMEL, PA17851
 Phone: 570-339-2160
 Fax: 570-339-4193
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ST JOSEPHS INTERNAL MEDICINE PC · (Female)

NPI Number 1629057039
Status Active
Credentials
Entity Individual
Enumeration date 01/13/2006
Last updated 11/08/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA Medicaid MA01054599
  • PA Other 02325000 BLUE CROSS
  • PA Other 402980 BLUE SHIELD
  • PA Other DA2400 RAILROAD MEDICARE
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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