National Provider Identifier Database

BACK MOUNTAIN PEDIATRICS
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

BACK MOUNTAIN PEDIATRICS
550 MEMORIAL HIGHWAY
DALLAS, PA18612
Phone: 570-675-7955
Fax: 570-675-7882
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Clinical Medical Laboratory 291U00000X

* Indicates primary specialty

NPI Profile & details for BACK MOUNTAIN PEDIATRICS

NPI Number 1063621233
Legal business name
LBN
BACK MOUNTAIN PEDIATRICS
Authorized official JOAN GREULICK - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/22/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: 022874
  • PA License #: MD024845E

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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