Baney, Micalyn D

Baney, Micalyn D is an individual health care provider with primary practice located at 220 E 3Rd St , Waterford PA 16441. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Baney, Micalyn D can be contacted via phone (814) 796-6791.

Contact Information

Primary practice address
220 E 3Rd St Waterford PA 16441
Fax: (814) 796-6517
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS014005 Pennsylvania

Profile Details

NPI number 1467579011
LBN Legal business name Baney, Micalyn D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Mar 1st, 2023 - about 2 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 1467579011 NPPES
Pennsylvania MEDICAID 1019257770001

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