Ammon, Wallace Keith
Ammon, Wallace Keith is an individual health care provider with primary practice located at 300 Highland Ave , Hanover PA 17331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ammon, Wallace Keith can be contacted via phone (717) 988-0000.Contact Information
Primary practice address
300 Highland Ave
Hanover PA 17331
Phone: (717) 988-0000
Fax: (717) 782-5716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD427608 | Pennsylvania |
Profile Details
| NPI number | 1871653345 |
|---|---|
| LBN Legal business name | Ammon, Wallace Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Jan 16th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871653345 | NPPES |
| Pennsylvania | Other | 100434 | GEISINGER |
| Pennsylvania | Other | 7107935 | GEISINGER |
| Pennsylvania | MEDICAID | 101445370 | GEISINGER |
| Pennsylvania | Other | 2626996000 | GEISINGER |
| Pennsylvania | Other | 891000 | GEISINGER |
| Pennsylvania | Other | 103042 | GEISINGER |
| Pennsylvania | Other | 1789885 | GEISINGER |
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