Beiter, Deborah A
Beiter, Deborah A is an sole proprietor health care provider with primary practice located at 130 Riverfront Terrace , Pocono Lake PA 18347-2519. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Beiter, Deborah A can be contacted via phone (570) 643-5020.Contact Information
Primary practice address
130 Riverfront Terrace
Pocono Lake PA 18347-2519
Phone: (570) 643-5020
Fax: (570) 643-5020
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA04079700 | New Jersey |
Profile Details
NPI number | 1609876648 |
---|---|
LBN Legal business name | Beiter, Deborah A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 29th, 2005 |
Last updated | Jul 21st, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609876648 | NPPES |
New Jersey | MEDICAID | 0970301 |
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