Acosta, Jose R

Acosta, Jose R is an individual health care provider with primary practice located at 27 Sandy Lane Suite 140, Lewistown PA 17044-1318. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Acosta, Jose R can be contacted via phone (717) 242-2711.

Contact Information

Primary practice address
27 Sandy Lane Suite 140 Lewistown PA 17044-1318
Phone: (717) 242-2711
Fax: (717) 248-0502
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD038970L Pennsylvania

Profile Details

NPI number 1831147933
LBN Legal business name Acosta, Jose R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Sep 8th, 2011 - about 13 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 1831147933 NPPES
Pennsylvania Other 060000161 RAILROAD MEDICARE
Pennsylvania Other 02552500 RAILROAD MEDICARE
Pennsylvania Other 076706 RAILROAD MEDICARE
Pennsylvania MEDICAID 0008056460001 RAILROAD MEDICARE
Pennsylvania MEDICAID 000805646 RAILROAD MEDICARE

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