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Contact Information

DANIELLE L POLTERSDORF, PA-C
755 NORMAN DR
CREDENTIALS DEPT
LEBANON, PA17042-7497
 Phone: 717-273-6706
 Fax: 717-273-1435
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DANIELLE L POLTERSDORF · (Female)

NPI Number 1891078937
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/26/2011
Last updated 01/08/2014 - About 3 years ago
Sole proprietor 1 No
Identifiers
PA License # MA055144
Hospital affiliation(s) n/a
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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