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
Fax: (570) 643-5020
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609876648 NPPES
New Jersey MEDICAID 0970301

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