Bobby, Vincent J
Bobby, Vincent J is an sole proprietor health care provider with primary practice located at 426 Airport Rd , Hazle Township PA 18202-3361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bobby, Vincent J can be contacted via phone (570) 450-0870.Contact Information
Primary practice address
426 Airport Rd
Hazle Township PA 18202-3361
Phone: (570) 450-0870
Fax: (570) 450-0874
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | OS005672L | Pennsylvania |
Profile Details
| NPI number | 1811962780 |
|---|---|
| LBN Legal business name | Bobby, Vincent J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Oct 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811962780 | NPPES |
| Pennsylvania | MEDICAID | 0011443820002 |
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