Ambrose, Joseph E.

Ambrose, Joseph E. is an sole proprietor health care provider with primary practice located at 100 Christy Park Dr , Indiana PA 15701-1584. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ambrose, Joseph E. can be contacted via phone (724) 349-9430.

Contact Information

Primary practice address
100 Christy Park Dr Indiana PA 15701-1584
Phone: (724) 349-9430
Fax: (724) 349-9431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS-0044831-L Pennsylvania

Profile Details

NPI number 1467451476
LBN Legal business name Ambrose, Joseph E.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2005
Last updated Oct 1st, 2019 - about 5 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 1467451476 NPPES
Pennsylvania Other AM462289 PA BLUE SHIELD
Pennsylvania MEDICAID 0009281810005 PA BLUE SHIELD

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