Bacharach, Matthew D

Bacharach, Matthew D is an sole proprietor health care provider with primary practice located at 840 Tuck St , Lebanon PA 17042. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Bacharach, Matthew D can be contacted via phone (717) 675-2545.

Contact Information

Primary practice address
840 Tuck St Lebanon PA 17042
Fax: (717) 675-2550
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X MD037966E Pennsylvania
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD037966E Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X MD037966E Pennsylvania

Profile Details

NPI number 1467422857
LBN Legal business name Bacharach, Matthew D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2006
Last updated Jun 6th, 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 1467422857 NPPES
Pennsylvania MEDICAID 0010942080005

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