Bizousky, David T

Bizousky, David T is an individual health care provider with primary practice located at 120 Irmc Dr Suite160, Indiana PA 15701-3674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Bizousky, David T can be contacted via phone (724) 465-2676.

Contact Information

Primary practice address
120 Irmc Dr Suite160 Indiana PA 15701-3674
Phone: (724) 465-2676
Fax: (724) 349-1830
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD034457E Pennsylvania

Profile Details

NPI number 1235199910
LBN Legal business name Bizousky, David T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Sep 16th, 2022 - about 3 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 1235199910 NPPES
Pennsylvania Other CI1160 RAILROAD MEDICARE
Pennsylvania MEDICAID 0014636240001 RAILROAD MEDICARE

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