Belenko, Michael I
Belenko, Michael I is an individual health care provider with primary practice located at 777 Rural Ave , Williamsport PA 17701-3109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Belenko, Michael I can be contacted via phone (570) 321-2321.Contact Information
Primary practice address
777 Rural Ave
Williamsport PA 17701-3109
Phone: (570) 321-2321
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD039643E | Pennsylvania |
Profile Details
| NPI number | 1619080744 |
|---|---|
| LBN Legal business name | Belenko, Michael I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Apr 15th, 2010 - about 14 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 | 1619080744 | NPPES |
| Pennsylvania | Other | 478439 | HIGHMARK/BLUE SHIELD |
| Pennsylvania | Other | 220033349 | HIGHMARK/BLUE SHIELD |
| Pennsylvania | MEDICAID | 0011040460007 | HIGHMARK/BLUE SHIELD |
| Pennsylvania | Other | 815185 | HIGHMARK/BLUE SHIELD |
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