Abraham, Mini George

Abraham, Mini George is an sole proprietor health care provider with primary practice located at 794 Roble Rd , Allentown PA 18109-9110. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Abraham, Mini George can be contacted via phone (877) 402-4221.

Contact Information

Primary practice address
794 Roble Rd Allentown PA 18109-9110
Fax: (484) 425-8159
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD420895 Pennsylvania

Profile Details

NPI number 1295726313
LBN Legal business name Abraham, Mini George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated Oct 11th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295726313 NPPES
Pennsylvania Other 30021250 KMHP
Pennsylvania Other 1641370 KMHP
Pennsylvania Other 2315870000 KMHP
Pennsylvania MEDICAID 1011606100001 KMHP

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