Belancio, Patricia Wallace

Belancio, Patricia Wallace is an individual health care provider with primary practice located at 1722 Bethlehem Pike , Flourtown PA 19031-1644. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Belancio, Patricia Wallace can be contacted via phone (215) 233-9700.

Contact Information

Primary practice address
1722 Bethlehem Pike Flourtown PA 19031-1644
Phone: (215) 233-9700
Fax: (215) 233-9710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X SP011629 Pennsylvania

Profile Details

NPI number 1700148459
LBN Legal business name Belancio, Patricia Wallace
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2012
Last updated Jun 8th, 2012 - about 13 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 1700148459 NPPES
Pennsylvania Other 100727800 MEDICAID TPI GROUP
Pennsylvania Other 597586 MEDICAID TPI GROUP
Pennsylvania Other CD4829 MEDICAID TPI GROUP

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