Baca, Dino J.
Baca, Dino J. is an individual health care provider with primary practice located at 1 Hospital Dr , Lewisburg PA 17837-9350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Baca, Dino J. can be contacted via phone (570) 522-4260.Contact Information
Primary practice address
1 Hospital Dr
Lewisburg PA 17837-9350
Phone: (570) 522-4260
Fax: (570) 768-3704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | OS009525L | Pennsylvania |
Profile Details
| NPI number | 1871580860 |
|---|---|
| LBN Legal business name | Baca, Dino J. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Jun 7th, 2022 - about 3 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 | 1871580860 | NPPES |
| Pennsylvania | MEDICAID | 0017945380009 |
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